Individual
MRS. ROBIN WENDY FATAFEHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, EPDH
Contact information
Practice address
20392 SW BLAINE CT, ALOHA, OR 97006-2115
(503) 440-2313
Mailing address
PO BOX 7014, ALOHA, OR 97007-7014
(503) 440-2313
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6359
OR
Other
Enumeration date
10/15/2012
Last updated
05/21/2013
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