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Individual

RACHEL FENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5835 OAKLAND DR, PORTAGE, MI 49024-1118
(269) 225-0503
Mailing address
5243 RIDGEBROOK DR, PORTAGE, MI 49002-0515
(269) 823-8029

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602256
MI

Other

Enumeration date
07/09/2024
Last updated
03/05/2025
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