Individual
DR. RAYMOND ROBERT FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11299 STONECREEK DR, PICKERINGTON, OH 43147-8910
(614) 864-0330
Mailing address
11299 STONECREEK DR, PICKERINGTON, OH 43147-8910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-016743
OH
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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