Individual
COLETTE LEE FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 W 5TH AVE APT 407, SAN MATEO, CA 94402-2036
(650) 520-0396
Mailing address
85 W 5TH AVE APT 407, SAN MATEO, CA 94402-2036
(650) 264-9164
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP949
CA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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