Most Relevant Information
Provider Data
| NPI Number: | 1003233909 |
| Provider Name: | FAITH FANN RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 020014613 |
Most Important Dates
| Enumeration Date: | 03/28/2014 |
| Last Updated: | 03/28/2014 |
Provider Practice Location
4241 HIGHWAY 14 WEST
CHRISTOPHER
IL
62822
Practice Location Phone/Fax
| Phone: | 6187242401 |
| Fax: |
Provider Mailing Location
PO BOX 155
CHRISTOPHER
IL
628220155
Provider Mailing Phone/Fax
| Phone: | 6187242401 |
| Fax: |