MS. Jennifer Renea Hairston, RDH

NPI #1205546736 in Herndon, Virginia

Provider Information

NPI Number: 1205546736
Entity Type: Individual
Name: MS. Jennifer Renea Hairston, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 23, 2022
Last Updated: Nov 23, 2022

Practice Location

Address: 150 ELDEN ST STE 255
City: Herndon
State: Virginia
ZIP Code: 20170-4856
Phone: (703) 435-9163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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