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Individual

DR. JENNIFER ANN MEADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
16006 ASH WAY, SUITE 102, LYNNWOOD, WA 98087-6352
(425) 744-1124
(425) 744-7813
Mailing address
16006 ASH WAY, SUITE 102, LYNNWOOD, WA 98087-6352
(425) 744-1124
(425) 744-7813

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
601729425
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
911732772
TAX ID #
WA
Enumeration date
04/12/2007
Last updated
11/03/2015
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