Organization
DR MONTEL R JENKINS DMD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTEL R JENKINS DMD (PRESIDENT)
(425) 228-6780
Entity
Organization
Contact information
Practice address
212 PARK AVENUE NORTH, RENTON, WA 98057-5717
(425) 228-6780
Mailing address
212 PARK AVENUE NORTH, RENTON, WA 98057-5717
(425) 228-6780
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004505
WA
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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