Individual
ELIZABETH ANN FENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4501 PRAIRIE PKWY, CEDAR FALLS, IA 50613-7986
(319) 277-6921
Mailing address
711 SPRUCE NEEDLE LN, CEDAR FALLS, IA 50613-8081
(563) 940-5557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10374
IA
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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