DR. HENRY FASTEAU, DDS

Dentist - General Practice

Active Individual
NPI: 1831101682

Practice Address

5042 DORSEY HALL DR
STE 102
Ellicott City, MD 21042

Phone: (410) 964-3020

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 6680 (MD)

Frequently Asked Questions

NPI 1831101682 is the National Provider Identifier for DR. HENRY FASTEAU, DDS, a Dentist - General Practice provider located in Ellicott City, MD. This NPI was enumerated on August 12, 2006.
DR. HENRY FASTEAU, DDS practices at 5042 DORSEY HALL DR, STE 102, Ellicott City, MD 21042.

Quick Facts

NPI
1831101682
Type
Individual
Enumerated
Aug 12, 2006
Last Updated
Jul 8, 2007

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