Organization
CHET JENKINS II PC
Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Other names
Dream Smile, Love Dentistry, Ziegele Smile Studio, Signature Washington FFS Dental Partners, Port Orchard Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MELODY BENNION (DIRECTOR OF INTEGRATIONS)
(480) 234-8490
Entity
Organization
Contact information
Practice address
4601 BETHEL RD SE, PORT ORCHARD, WA 98366-1253
(360) 876-6388
Mailing address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 626-4154
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/18/2023
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