Individual
TABITHA NICOLE FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
156 S. DOSSETT DRIVE, JOHNSON CITY, TN 37614
(423) 439-5237
Mailing address
PO BOX 70690, JOHNSON CITY, TN 37614-1709
(423) 439-5237
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5792
TN
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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