Individual
ERISA SABLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36000 SHOEMAKER LANE SUITE 1051, FORT CAVAZOS, TX 76544
(254) 288-7863
Mailing address
36000 SHOEMAKER LANE SUITE 1051, FORT CAVAZOS, TX 76544
(254) 288-7863
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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