Individual
MRS. JENNIFER JIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
404 W SUPERIOR ST, WAYLAND, MI 49348-1223
(269) 792-0144
(269) 792-0104
Mailing address
404 W SUPERIOR ST, WAYLAND, MI 49348-1223
(269) 792-0144
(269) 792-0104
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014981
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174963375
—
MI
Enumeration date
06/01/2015
Last updated
06/01/2015
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