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Individual

JENNIFER TRATHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
106 HANCOCK BRIDGE PKWY W, SUITE A02, CAPE CORAL, FL 33991-2090
(239) 573-1273
Mailing address
609 S. TAMIAMI TRAIL, VENICE, FL 34285
(941) 486-0561

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14674
FL

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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