Ronald Sam Fenn D.D.S.

NPI 1083615819 - Dentist - 1223X0400X

NPI Details
NPI 1083615819
Gender Male
Enumeration Date 08/02/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1136 N 2ND ST
EL CAJON CA, 92021-5008, US
Phone (619) 444-1181
Fax (619) 444-4552
Business Location
1136 N 2ND ST
EL CAJON CA, 92021-5008, US
Phone (619) 444-1181
Fax (619) 444-4552
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 20975
Remove 1083615819 NPI Number
 

According to our database, Dr. Ronald Sam Fenn D.D.S. NPI is 1083615819, taxonomy code is 1223X0400X and license number is 20975, license state is located at California. Ronald Sam Fenn D.D.S. physically located at 1136 N 2nd St, El Cajon CA, 92021-5008. NPI Number Ronald Sam Fenn D.D.S. has the Individual type.

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1083615819 NPI number is provided on an as is basis without warranty of any kind. 1083615819 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Sam Fenn D.D.S. are for informational purposes only.