STACIE DAWN FENDERSON

SACRAMENTO, CA
NPI1053500959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  52724)
Enumeration Date2007-10-17
Last Update Date2007-10-17
Business Address
Dr. STACIE DAWN FENDERSON DDS MS
8689 FOLSOM BLVD
SACRAMENTO, CA 95826
Phone number: 916-381-7171
Mailing Address
Dr. STACIE DAWN FENDERSON DDS MS
350 MEADOW GATE RD
MEADOW VISTA, CA 95722
Phone number: 916-381-7171
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