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Organization
COLETTE FONTAINE, RDHAP INC.
Active
Organization
COLETTE FONTAINE, RDHAP INC.
Active
Other names
Elemental Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLETTE LEE FONTAINE RDH,RDHAP (REGISTERED DENTAL HYGIENIST AP)
(650) 520-0396
Entity
Organization
Contact information
Practice address
85 W 5TH AVE APT 407, SAN MATEO, CA 94402-2036
(650) 264-9164
Mailing address
85 W 5TH AVE APT 407, SAN MATEO, CA 94402-2036
(650) 520-0396
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
125K00000X
Advanced Practice Dental Therapist
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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