Individual
NAOMI FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MTC 75 OP MED READINESS SQ, HILL AFB, UT 84056
(801) 586-2273
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5089
ID
Other
Enumeration date
02/15/2015
Last updated
06/17/2022
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