Individual
JENNIFER R HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1328 N STANFORD LN, LIBERTY LAKE, WA 99019-5034
(509) 891-5001
Mailing address
15521 N CUSTER CT, MEAD, WA 99021-9018
(509) 720-9086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DENT.DE.70147522
WA
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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