Individual
DR. JESSE A. MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9 UVALDE RD STE 12, HOUSTON, TX 77015-1433
(832) 564-1620
Mailing address
748 S MEADOWS PKWY STE 8, RENO, NV 89521-3861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6745
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38686
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-289
NV
Other
Enumeration date
06/22/2016
Last updated
07/13/2022
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