Individual
ANDREA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
119 MAIN ST., DILLON, CO 80435
(970) 468-2471
Mailing address
PO BOX 158, DILLON, CO 80435-0158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-24805
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
06/22/2020
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