Andrew Fenton, DDS Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Alpine, UT
- NPI
- 1194710681
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 47253509921 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-09-12
- Last updated
- 2007-09-05
Practice location
75 W Main Street Ct Ste 200
Alpine, UT 84004-5602
(801) 756-9779