Individual
JENNIFER HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5005 N PIEDRAS, US ARMY DENTAL ACTIVITY FORT BLISS, EL PASO, TX 79920-5001
(915) 742-9316
Mailing address
5005 N PIEDRAS, US ARMY DENTAL ACTIVITY FORT BLISS, EL PASO, TX 79920-5001
(915) 742-9316
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402206029
VA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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