NPI 1477564359

Fadi Kanan, DDS

Practitioner General Practice Dentistry Essex Junction, VT

Practice location

Address: 11 Market Place, Essex Junction, VT 05452
Phone: (802) 878-5591
Fax: (802) 878-8951

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2056 (VT)

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Registry record

NPI: 1477564359
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.