HOLLY ANN DAVERIN

FORT WASHAKIE, WY
NPI1245501808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H6127)
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
Ms. HOLLY ANN DAVERIN RDH
29 BLACK COAL DRIVE FORT WASHAKIE DENTAL CLINIC
FORT WASHAKIE, WY 82514-0128
Phone number: 307-332-7300
Mailing Address
Ms. HOLLY ANN DAVERIN RDH
11102 W 4000N RD
BONFIELD, IL 60913-7171
Phone number: 815-922-7682
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