Individual
DR. BRIGID ETHEL MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
FORT DEFIANCE PHS HOSPITAL, CORNER OF RT N12 N7, FORT DEFIANCE, AZ 86504
(928) 729-8885
Mailing address
PO BOX 155, FORT DEFIANCE, AZ 86504-0155
(928) 729-5736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126970
—
AZ
05
—
95373861
—
NM
Enumeration date
11/03/2006
Last updated
07/21/2022
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