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Dental Hygienist · FAIRFIELD, OH

Registration Details

NPI Number
1689074452
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2014 (11.654234200841 yrs)
Last Updated
Aug 29, 2014
Licenses
31-011442 (OH)
01941 (OH)

Practice Information

Address
5946 RED OAK DR
FAIRFIELD, OH, 450144510
Browse OH providers · Browse ZIP 45014
Phone
5132627454
Primary Specialty
Dental Hygienist
124Q00000X
Additional Specialty
Dental Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.