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Individual
JENNIFER BAEZPOLAN
Active
Individual
JENNIFER BAEZPOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901602354
MI
122300000X
Dentist
Primary
DDS111641
CA
Other
Enumeration date
09/25/2021
Last updated
09/25/2025
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