Individual
JENNIFER T STATLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7400 W CAMINO REAL, SUITE 110, BOCA RATON, FL 33433-5513
(561) 368-3688
Mailing address
7400 W CAMINO REAL, SUITE 110, BOCA RATON, FL 33433-5513
(561) 368-3688
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18432
FL
Other
Enumeration date
09/29/2008
Last updated
05/06/2010
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