Individual
AVERY NICOLETTE FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 OLD KEMP HWY, KAUFMAN, TX 75142-3658
(972) 932-4312
Mailing address
2211 OLD KEMP HWY, KAUFMAN, TX 75142-3658
(972) 932-4312
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25814
TX
124Q00000X
Dental Hygienist
DH.002026962
CO
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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