Individual
JENETTE D INTRACHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
357 S GULPH RD, SUITE 100, KING OF PRUSSIA, PA 19406-3136
(610) 337-2325
(610) 337-2325
Mailing address
357 S GULPH RD, SUITE 100, KING OF PRUSSIA, PA 19406-3136
(610) 337-2325
(610) 337-3863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00011067
LICENSE NUMBER
WA
Enumeration date
12/13/2007
Last updated
03/07/2023
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