Individual
DR. JENELLE MEREDITH SILVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
245 TERRACINA BLVD STE 207B, REDLANDS, CA 92373-4869
(909) 798-2228
Mailing address
245 TERRACINA BLVD STE 207B, REDLANDS, CA 92373-4869
(909) 798-2228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
038516
PA
122300000X
Dentist
59904
CA
1223E0200X
Endodontics
Primary
59904
CA
1223G0001X
General Practice Dentistry
DEN10345
CO
Other
Enumeration date
11/29/2010
Last updated
03/28/2018
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