DR. Kenneth Allen Fetter SR., DMD

NPI #1255429544 in Wayne, Pennsylvania

Provider Information

NPI Number: 1255429544
Entity Type: Individual
Name: DR. Kenneth Allen Fetter SR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 415 E LANCASTER AVE
City: Wayne
State: Pennsylvania
ZIP Code: 19087-4202
Phone: (610) 688-4578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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