| Keith Fetterolf, DMD, P.A. | |
|
142 Shenstone Ln Garner NC 27529-6902 | |
| (919) 329-6101 | |
| Not Available |
| Full Name | Keith Fetterolf, DMD, P.A. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 142 Shenstone Ln, Garner, North Carolina |
| Authorized Official Name and Position | Keith Fetterolf (OWNER) |
| Authorized Official Contact | 9193296101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Fetterolf, DMD, P.A. 142 Shenstone Ln Garner NC 27529-6902 Ph: (919) 329-6101 | Keith Fetterolf, DMD, P.A. 142 Shenstone Ln Garner NC 27529-6902 Ph: (919) 329-6101 |
| NPI Number | 1023745130 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023745130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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