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1194427633
MADIE FORTNER
DALLAS, TX
NPI
1194427633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
MADIE FORTNER
3302 GASTON AVE
DALLAS, TX 75246-2013
Phone number: 214-828-8215
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Mailing Address
MADIE FORTNER
3302 GASTON AVE
DALLAS, TX 75246-2013
Phone number: 214-828-8215
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