Individual
NANCY VERNON CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
197 WILDFLOWER RD, BLANCO, TX 78606-1477
(830) 833-5770
(830) 833-5075
Mailing address
PO BOX 1477, BLANCO, TX 78606-1477
(830) 833-5770
(830) 833-5075
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10773
TX
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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