Sarah Kennedy Fodor, DDS Valid NPI

Individual provider · General Practice Dentistry · Slinger, WI

NPI

1376010868

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

1001966-15 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2018-11-01

Last updated

2019-06-13