Roger L Fender DDS

NPI #1295719417 in Lees Summit, Missouri

Provider Information

NPI Number
1295719417
Entity Type
Organization
Organization Name
Roger L Fender DDS
Primary Specialty
Dentist
Enumeration Date
Dec 1, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
519 SW 3RD ST
Address 2
SUITE G
ZIP Code
64063-2258
Phone
(816) 524-3434

Authorized Official

Name
ROGER LOREN FENDER, DDS
Title
OWNER
Phone
(816) 524-3434

Specialties & Taxonomy Codes

Specialty
Dentist

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