Most Relevant Information
Provider Data
| NPI Number: | 1003291527 |
| Provider Name: | JENNIFER FICCO RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 00004393 |
Most Important Dates
| Enumeration Date: | 07/27/2015 |
| Last Updated: | 07/27/2015 |
Provider Practice Location
910 NE TENNEY RD
SUITE 117
VANCOUVER
WA
986852837
Practice Location Phone/Fax
| Phone: | 3606951515 |
| Fax: |
Provider Mailing Location
3505 NW 132ND CIR
VANCOUVER
WA
986851607
Provider Mailing Phone/Fax
| Phone: | 3606247729 |
| Fax: |