MIA LOUISE FENNER

EL PASO, TX
NPI1053867630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: TX  18552)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- MIA LOUISE FENNER RDH
5005 N PIEDRAS ST US ARMY DENTAL ACTIVITY
EL PASO, TX 79920-5001
Phone number: 915-742-0172
Mailing Address
-- MIA LOUISE FENNER RDH
5005 N PIEDRAS ST US ARMY DENTAL ACTIVITY
EL PASO, TX 79920-5001
Phone number: 915-742-0172
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