Individual
FAWN C WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
712 N RIVER ROCK DR, BELGRADE, MT 59714-7222
(406) 599-4601
Mailing address
712 N RIVER ROCK DR, BELGRADE, MT 59714-7222
(406) 599-4601
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1113
MT
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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