Individual
ANGELA FAUROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 PINE VIEW DR, COLUMBIA, MO 65202-4209
(578) 358-2123
Mailing address
4001 PINE VIEW DR, COLUMBIA, MO 65202-4209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2011026240
MO
Other
Enumeration date
08/15/2016
Last updated
09/26/2017
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