Individual
CORNEIL KIMBERLY FRETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
430 N HIGH ST, HENDERSON, TX 75652-5910
(903) 918-2519
Mailing address
430 N HIGH ST, HENDERSON, TX 75652-5910
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27168
TX
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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