Fawaz, Jennifer Lynn

Fawaz, Jennifer Lynn is an individual health care provider with primary practice located at 4102 Pinion Dr 10Th Medical Group-Sgdd, Usaf Academy CO 80840-2502. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fawaz, Jennifer Lynn can be contacted via phone (719) 333-5191.

Contact Information

Primary practice address
4102 Pinion Dr 10Th Medical Group-Sgdd Usaf Academy CO 80840-2502
Phone: (719) 333-5191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 904354 Colorado

Profile Details

NPI number 1427237874
LBN Legal business name Fawaz, Jennifer Lynn
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Nov 1st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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