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Individual

JENNE MENDIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
BLDG #9440 BATTALION AVENUE, FAIRBANKS DENTAL CLINIC, FORT HOOD, TX 76544
(254) 288-7848
Mailing address
BLDG #9440 BATTALION AVENUE, FAIRBANKS DENTAL CLINIC, FORT HOOD, TX 76544
(254) 288-7848

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9231
TX

Other

Enumeration date
06/27/2016
Last updated
06/27/2016
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