Individual
DR. JENNIFER DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1111 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803
(850) 313-9012
Mailing address
1111 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803-0400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17161
FL
Other
Enumeration date
01/05/2006
Last updated
08/21/2019
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