Individual
DR. ANITA FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
175 N MIDWAY ST, CLAYTON, AL 36016-3119
(334) 775-8951
Mailing address
175 N MIDWAY ST, CLAYTON, AL 36016-3119
(334) 775-8951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4632
AL
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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