Most Relevant Information
Provider Data
NPI Number: | 1003010414 |
Provider Name: | JANINE AMBER WITHERSPOON RDH |
Entity Type: | Individual |
Taxonomy Code: | 124Q00000X |
Specialty: | Dental Hygienist |
License Number: | 14673 |
Most Important Dates
Enumeration Date: | 06/12/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
8608 PRESTON RD
112
PLANO
TX
750243316
Practice Location Phone/Fax
Phone: | 2146196329 |
Fax: |
Provider Mailing Location
554 APPOMATTOX DR
MESQUITE
TX
751494868
Provider Mailing Phone/Fax
Phone: | 9722885807 |
Fax: |