Individual
JENNIFER LYNN TOMBLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 FLATTS LN, MORGANTOWN, WV 26505-3840
(740) 424-1040
Mailing address
1 FLATTS LN, MORGANTOWN, WV 26505-3840
(740) 424-1040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30709
TX
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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