Colette Lee Fontaine

NPI #1962182840 in San Mateo, California

Provider Information

NPI Number: 1962182840
Entity Type: Individual
Name: Colette Lee Fontaine
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 85 W 5TH AVE APT 407
City: San Mateo
State: California
ZIP Code: 94402-2036
Phone: (650) 520-0396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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