DR. Ronald Nelson Fadal, D.D.S.

NPI #1982759379 in Longview, Texas

Provider Information

NPI Number
1982759379
Entity Type
Individual
Name
DR. Ronald Nelson Fadal, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Jan 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5 DOCTOR CIR
State
Texas
ZIP Code
75605-5050
Phone
(903) 758-6406

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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