Mia Louise Fenner
Dental Hygienist
5005 N Piedras St Us Army Dental Activity
El Paso
, Texas 79920-5001
Mia Louise Fenner
Dental Hygienist
5005 N Piedras St Us Army Dental Activity
El Paso
, Texas 79920-5001
(915) 742-0172
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mia Louise Fenner
- 5005 N Piedras St Us Army Dental Activity
- El Paso, TX
- Zip : 79920-5001
- Phone : (915) 742-0172
Second Address
- Mia Louise Fenner
- 5005 N Piedras St Us Army Dental Activity
- El Paso, TX
- Zip : 79920-5001
- Phone : (915) 742-0172
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 18552 | TX |
National Provider Identifier
| NPI | 1053867630 |
|---|---|
| Provider Name | Mia Louise Fenner |
| First Address | El Paso, TX 79920-5001 |
| Second Address | El Paso, TX 79920-5001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2016 |
| Last Update Date | 01/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.