NPI 1336580919

Patricia M Pine, RDHOM

Practitioner Dental Hygienist Fountain Hills, AZ

Practice location

Address: 16422 E Crystal Ridge Dr, Fountain Hills, AZ 85268-8415
Phone: (847) 207-7463

Registered specialties (3)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence H4381 (AZ)

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Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence 020-004876 (IL)

Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence 6743-016 (WI)

Registry record

NPI: 1336580919
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2013
Record last updated: 11 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.