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1417040940
JAY EDWARD FANDEL
SAN ANGELO, TX
NPI
1417040940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 2612-91)
Enumeration Date
2006-10-02
Last Update Date
2022-09-22
Business Address
Dr. JAY EDWARD FANDEL D.M.D.
2102 PECOS ST STE 1
SAN ANGELO, TX 76901-3061
Phone number: 325-944-4984
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Mailing Address
Dr. JAY EDWARD FANDEL D.M.D.
5618 WOODBINE LN
SAN ANGELO, TX 76904
Phone number: 325-654-3676
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