Individual
DR. DAMIAN O. FENNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5520 MEDICAL CIR, MADISON, WI 53719-1226
(608) 274-5714
(608) 274-0591
Mailing address
5520 MEDICAL CIR, MADISON, WI 53719-1226
(608) 274-5714
(608) 274-0591
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5001564
WI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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