Rebecca Fahning, RDH, BS, IBCLC

NPI 1841486776 · on the registry since 2007 · sole proprietor

Practice

Address: 13410 Canalville Ln
Grasston, MN 55030
Phone: (651) 894-4391
Fax: (320) 629-3366
Organisation at this address: Healthy Teeth Club
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Also registered as: 174N00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota