DR. Kevin Dean Fedak, DDS
NPI #1316058241 in Lacey, Washington
Provider Information
- NPI Number
- 1316058241
- Entity Type
- Individual
- Name
- DR. Kevin Dean Fedak, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5330 CORPORATE CENTER LOOP SE STE B
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-5558
- Phone
- (360) 456-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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