Trisha Renee Fazekas, RDH

NPI #1457894024 in New Boston, Michigan

Provider Information

NPI Number: 1457894024
Entity Type: Individual
Name: Trisha Renee Fazekas, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 29, 2016
Last Updated: Nov 29, 2016

Practice Location

Address: 24040 DUGAN DR
City: New Boston
State: Michigan
ZIP Code: 48164-9722
Phone: (734) 652-8492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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