Individual
KOURTNI FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503
(541) 826-5853
(541) 826-5843
Mailing address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 414-0519
(541) 842-7774
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6234
OR
Other
Enumeration date
03/15/2016
Last updated
08/16/2018
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