Jennifer Ann Van Wingen BS, RDH

NPI 1063721207 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1063721207
Gender Female
Enumeration Date 10/06/2010
Last Updated 10/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4944 SKYVIEW CT
TRAVERSE CITY MI, 49684-7173, US
Phone (231) 632-2238
Fax
Business Location
4944 SKYVIEW CT
TRAVERSE CITY MI, 49684-7173, US
Phone (231) 632-2238
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Michigan
License Number 2902011838
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According to our database, Mrs. Jennifer Ann Van Wingen BS, RDH NPI is 1063721207, taxonomy code is 124Q00000X and license number is 2902011838, license state is located at Michigan. Jennifer Ann Van Wingen BS, RDH physically located at 4944 Skyview Ct, Traverse City MI, 49684-7173. NPI Number Jennifer Ann Van Wingen BS, RDH has the Individual type.

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1063721207 NPI number is provided on an as is basis without warranty of any kind. 1063721207 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Ann Van Wingen BS, RDH are for informational purposes only.