James Thomas Fetsch, DMD, PC Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1316960768
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2000157897 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-26
- Last updated
- 2016-08-17
Practice location
2941 Highway K
O Fallon, MO 63368-7862
(636) 240-0115