Individual
FERN DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
103 MEDICINE WAY, PERIDOT, AZ 85542
(928) 475-1400
Mailing address
103 MEDICINE WAY, PERIDOT, AZ 85542
(928) 475-1400
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6912
AZ
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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