Individual
DR. JENNIFER MARIE STIDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
620 E DAVIDSON ST, BARTOW, FL 33830-4051
(863) 533-4331
(863) 534-1168
Mailing address
620 E DAVIDSON ST, BARTOW, FL 33830-4051
(863) 533-4331
(863) 534-1168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10646
FL
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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