Individual
MRS. JENNIFER M KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3145 GARDEN AVE, STE 1278, FORT SAM HOUSTON, TX 78234-7718
(210) 808-3735
Mailing address
2212 INFANTRY POST RD, FORT SAM HOUSTON, TX 78234-1306
(206) 280-1142
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
16598
TX
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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