Fenner, Mia Louise

Fenner, Mia Louise is an individual health care provider with primary practice located at 5005 N Piedras St Us Army Dental Activity, El Paso TX 79920-5001. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fenner, Mia Louise can be contacted via phone (915) 742-0172.

Contact Information

Primary practice address
5005 N Piedras St Us Army Dental Activity El Paso TX 79920-5001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 18552 Texas

Profile Details

NPI number 1053867630
LBN Legal business name Fenner, Mia Louise
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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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