HENRY A FASTEAU

ELLICOTT CITY, MD
NPI1831101682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  6680)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
Dr. HENRY A FASTEAU DDS
5042 DORSEY HALL DR STE 102
ELLICOTT CITY, MD 21042
Phone number: 410-964-3020
Mailing Address
Dr. HENRY A FASTEAU DDS
14700 MUSTANG PATH
GLENWOOD, MD 21738
Phone number: 410-442-2526
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