Individual
MS. JENNIFER ELLEN DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
120 S DENTON TAP RD, SUITE 100, COPPELL, TX 75019-3297
(469) 635-1105
Mailing address
120 S DENTON TAP RD, SUITE 100, COPPELL, TX 75019-3297
(469) 635-1105
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11495
TX
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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