Colette Fontaine, Rdhap Inc.

NPI #1033893045 in San Mateo, California

Provider Information

NPI Number: 1033893045
Entity Type: Organization
Organization Name: Colette Fontaine, Rdhap Inc.
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 12, 2023
Last Updated: Jun 12, 2023

Practice Location

Address: 85 W 5TH AVE APT 407
City: San Mateo
State: California
ZIP Code: 94402-2036
Phone: (650) 264-9164

Authorized Official

Name: MS. COLETTE LEE FONTAINE, RDH,RDHAP
Title: REGISTERED DENTAL HYGIENIST AP
Phone: (650) 520-0396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Dental Therapist	125K00000X
In Home Supportive Care	253Z00000X
Dental Hygienist	124Q00000X	Primary

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