MS. Holly Ann Daverin, RDH
NPI #1245501808 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1245501808
- Entity Type
- Individual
- Name
- MS. Holly Ann Daverin, RDH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Jan 13, 2012
- Last Updated
- Jan 13, 2012
Practice Location
- Address
- 29 BLACK COAL DRIVE
- Address 2
- FORT WASHAKIE DENTAL CLINIC
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-0128
- Phone
- (307) 332-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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