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Individual

DR. JENNIFER P. KETCHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
7410 S. COOPER STREET, SUITE 100, ARLONGTON, TX 76001
(817) 465-0044
(817) 465-0055
Mailing address
7410 S. COOPER STREET, SUITE 100, ARLONGTON, TX 76001
(817) 465-0044
(817) 465-0055

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
019.026689
IL
1223P0221X
Pediatric Dentistry
Primary
20274
TX

Other

Enumeration date
12/30/2006
Last updated
07/16/2013
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