DR. Barry Wyllys Fenn, DDS

NPI #1124248638 in Grayling, Michigan

Provider Information

NPI Number: 1124248638
Entity Type: Individual
Name: DR. Barry Wyllys Fenn, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 505 LAKE ST
City: Grayling
State: Michigan
ZIP Code: 49738-1263
Phone: (989) 348-5923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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