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1538205729
DANIEL S FANNIN
SPRINGFIELD, MO
NPI
1538205729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO DEN 015947)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- DANIEL S FANNIN D.D.S.
540 W LASALLE ST
SPRINGFIELD, MO 65807-4712
Phone number: 417-887-1220
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Mailing Address
-- DANIEL S FANNIN D.D.S.
540 W LASALLE ST
SPRINGFIELD, MO 65807-4712
Phone number: 417-887-1220
Copy
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