Individual
JENNIFER STOLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13005 SW 1ST RD STE 233, NEWBERRY, FL 32669-3266
(352) 436-4215
Mailing address
8534 SW 68TH RD, GAINESVILLE, FL 32608-5696
(954) 593-1350
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26808
FL
390200000X
Student in an Organized Health Care Education/Training Program
0442000411
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/10/2020
Last updated
02/07/2023
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