Individual provider · Type 1 NPI

Beverly J. Fanz, DDS

General Practice Dentistry · Englewood, OH

NPI number 1104989003 Active

About NPI 1104989003

Beverly J. Fanz, DDS's National Provider Identifier is 1104989003, issued on Dec 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Englewood, OH. The record was last updated on Jul 8, 2007.