Individual
DAKOTA SHAY FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7460 SW HUNZIKER RD STE H, TIGARD, OR 97223-8244
(503) 521-7166
Mailing address
10335 SW DENNEY RD, BEAVERTON, OR 97008-6017
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8078
OR
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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