Jennifer Lynn Fawaz, RDH

NPI #1427237874 in Usaf Academy, Colorado

Provider Information

NPI Number: 1427237874
Entity Type: Individual
Name: Jennifer Lynn Fawaz, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 4102 PINION DR
Address 2: 10TH MEDICAL GROUP-SGDD
City: Usaf Academy
State: Colorado
ZIP Code: 80840-2502
Phone: (719) 333-5191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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