Individual
KATY LYNN CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8117
Mailing address
PO BOX 46, LUPTON, AZ 86508-1046
(928) 241-1150
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H009959
AZ
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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