Individual
KATHERINE BURTS JENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
719 N 25TH ST, RICHMOND, VA 23223-6539
(804) 780-0840
(804) 329-1206
Mailing address
2809 NORTH AVE, RICHMOND, VA 23222-3647
(804) 944-4504
(804) 329-1206
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402003276
VA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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