License holder summary

Fontaine, Samantha Ann is a Dental Hygienist licensed to practice in Missouri. The address on file for Fontaine, Samantha Ann is 21037 W 179 Terrace  66062. This licensed professional license is current. The license was granted 06/14/2013 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Fontaine, Samantha Ann
Dental Hygienist
License number
2013018698  
Date granted
06/14/2013
Date expires
11/30/2014
Class
Dental Hygienist
Status
Clear
Address
21037 W 179 Terrace 
licensingmissouri.org
ID 2001737
LAST UPDATED 2026-06-02 00:21:50 UTC

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