Autumn R. Vangennip RDH
Dental Hygienist in Cape Girardeau, MO(View on Map)
Full Name
Autumn Rose Vangennip RDH
NPI Number
1609295674
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/07/2014
Specialties
(Taxonomies)Licenses
State
Missouri
License Number
2011017963
Contact
Information
Purpose
Mailing
Location
Address
408 S BROADVIEW ST
408 S BROADVIEW ST
City
Cape Girardeau
Cape Girardeau
State
MO
MO
Postal Code
63703-5725
63703-5725
Country
US
US
Telephone Number
(573) 382-2127
(573) 332-0808
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/07/2014