James T Fetsch Dmd LLC
NPI #1235771155 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1235771155
- Entity Type
- Organization
- Organization Name
- James T Fetsch Dmd LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 11, 2019
- Last Updated
- Oct 11, 2019
Practice Location
- Address
- 10004 KENNERLY RD SUITE 240
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128
- Phone
- (314) 849-3234
Authorized Official
- Name
- DR. JAMES T. FETSCH, DMD
- Title
- MEMBER
- Phone
- (314) 849-3234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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