Individual
MISS JENNIFER MARIE BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(951) 775-5332
Mailing address
42885 WOODSIDE CT, HEMET, CA 92544-3369
(951) 775-5332
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
50653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50653
—
CA
Enumeration date
09/10/2017
Last updated
07/21/2022
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