| NPI | 1134737554 |
|---|---|
| Doing Business As | FENTON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEGAN DRUMMOND Management 386-283-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |