Most Relevant Information
Provider Data
| NPI Number: | 1003253428 |
| Provider Name: | DEBORAH A FENT RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 011470-1 |
Most Important Dates
| Enumeration Date: | 05/24/2013 |
| Last Updated: | 05/24/2013 |
Provider Practice Location
412 STATE ROUTE 37
AKWESASNE
NY
136553109
Practice Location Phone/Fax
| Phone: | 5183583141 |
| Fax: |
Provider Mailing Location
412 STATE ROUTE 37
AKWESASNE
NY
136553109
Provider Mailing Phone/Fax
| Phone: | 5183583141 |
| Fax: |