MRS. Jennifer Sophia Fanti, BS DDS

NPI #1831211648 in Taylor, Michigan

Provider Information

NPI Number: 1831211648
Entity Type: Individual
Name: MRS. Jennifer Sophia Fanti, BS DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: BS DDS
Enumeration Date: Apr 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 24459 GODDARD RD
City: Taylor
State: Michigan
ZIP Code: 48180
Phone: (734) 946-8620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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