FRED SUMMERFELT

FLAGSTAFF, AZ
NPI1043479108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: AZ  H4342)
Enumeration Date2008-06-04
Last Update Date2008-06-04
Business Address
-- FRED SUMMERFELT RDH AP
997 E STERLING LN
FLAGSTAFF, AZ 86001-6572
Phone number: 928-779-3623
Mailing Address
-- FRED SUMMERFELT RDH AP
997 E STERLING LN
FLAGSTAFF, AZ 86001-6572
Phone number: 928-779-3623
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