DR. Fahey House, DDS

NPI #1912338930 in Odessa, Florida

Provider Information

NPI Number: 1912338930
Entity Type: Individual
Name: DR. Fahey House, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 1, 2013
Last Updated: Dec 1, 2013

Practice Location

Address: 16116 ARMISTEAD LN
City: Odessa
State: Florida
ZIP Code: 33556-3303
Phone: (813) 390-0223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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