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Individual

DR. MARY LEE FAETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
484 COUNTY LINE RD W, SUITE #100, WESTERVILLE, OH 43082-7080
(614) 898-0440
Mailing address
484 COUNTY LINE RD W, SUITE #100, WESTERVILLE, OH 43082-7080
(614) 898-0440

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20166
OH

Other

Enumeration date
02/05/2007
Last updated
07/08/2007
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