KEVIN MARK FAHEY

SYRACUSE, NY
NPI1124210919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: NY  NY050049)
Additional Taxonomies1223E0200X Dentist, Endodontics
(Licence: FL  DN15647)
Enumeration Date2007-08-15
Last Update Date2007-08-15
Business Address
-- KEVIN MARK FAHEY DMD
600 EAST GENESEE ST
SYRACUSE, NY 13202
Phone number: 315-476-7406
Mailing Address
-- KEVIN MARK FAHEY DMD
600 EAST GENESEE ST
SYRACUSE, NY 13202
Phone number: