Mia R Fairley, DENTAL HYGIENIST

NPI #1720891880 in Pasco, Washington

Provider Information

NPI Number: 1720891880
Entity Type: Individual
Name: Mia R Fairley, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Jan 30, 2025
Last Updated: Jan 30, 2025

Practice Location

Address: 4406 KUBOTA LN
City: Pasco
State: Washington
ZIP Code: 99301-9561
Phone: (509) 727-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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