Jenne Mendiola

NPI #1235580747 in Fort Hood, Texas

Provider Information

NPI Number: 1235580747
Entity Type: Individual
Name: Jenne Mendiola
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 27, 2016
Last Updated: Jun 27, 2016

Practice Location

Address: BLDG #9440 BATTALION AVENUE
Address 2: FAIRBANKS DENTAL CLINIC
City: Fort Hood
State: Texas
ZIP Code: 76544
Phone: (254) 288-7848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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