Individual
JENNIFER BURDITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3306 S PACIFIC HWY, 36, MEDFORD, OR 97501-8754
(503) 758-0689
Mailing address
3306 S PACIFIC HWY APT 36, MEDFORD, OR 97501-8712
(503) 758-0689
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5349
OR
Other
Enumeration date
07/11/2008
Last updated
02/15/2016
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