Individual
DR. MONTEL R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
212 PARK AVE NORTH, RENTON, WA 98057-5717
(425) 228-6780
Mailing address
212 PARK AVE NORTH, RENTON, WA 98057-5717
(425) 228-6780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004505
WA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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