Individual
JENNIFER J RA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2710 MERIDIAN ST, BELLINGHAM, WA 98225
(360) 676-1499
(360) 738-2281
Mailing address
2710 MERIDIAN ST., BELLINGHAM, WA 98225
(360) 676-1499
(360) 738-2281
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
03747
NH
122300000X
Dentist
Primary
DE60167264
WA
Other
Enumeration date
10/08/2009
Last updated
09/03/2021
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