Individual
MRS. MARY ANAGENE FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
350 COURT ST, HUNTSVILLE, TN 37756
(423) 663-8200
(423) 663-8544
Mailing address
PO BOX 5164, ONEIDA, TN 37841-5164
(423) 663-3730
(423) 663-8544
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000004284
TN
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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