Individual
ALAIN FOZETTIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
8085 SAND HILL RD APT A, TWENTYNINE PALMS, CA 92277-5597
(210) 367-7096
Mailing address
1ST DNBN ATTN: CREDENTIALS, BOX 555221, CAMP PENDLETON, CA 92055-5221
(210) 367-7096
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26943
FL
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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