Individual
DR. ANDREW FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 LIBERTY DR, HEBRON, CT 06248
(860) 228-7878
Mailing address
20 LIBERTY DR, HEBRON, CT 06248-1552
(860) 228-7878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11608
CT
1223G0001X
General Practice Dentistry
11608
CT
Other
Enumeration date
04/13/2015
Last updated
11/20/2018
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