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
- City
- Lees Summit
- State
- Missouri
- 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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