DR. Jeffrey E. Fellner, D.D.S.

NPI #1114014503 in Glendale, Arizona

Provider Information

NPI Number
1114014503
Entity Type
Individual
Name
DR. Jeffrey E. Fellner, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
20265 N 59TH AVE
Address 2
SUITE B-5
State
Arizona
ZIP Code
85308-6819
Phone
(623) 362-9616

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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