Individual
DR. DENNIS JOHN FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3917 47TH AVE, KENOSHA, WI 53144-1956
(262) 656-1588
(262) 656-1570
Mailing address
3917 47TH AVE, KENOSHA, WI 53144-1956
(262) 656-1588
(262) 656-1570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002155-015
WI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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