Kim Elizabeth Fenesy, D.M.D. Valid NPI

Individual provider · Periodontics · Clifton, NJ

NPI

1497808042

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

22DI01562300 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-18

Last updated

2007-07-08