Individual
JENNIFER DABU BANTUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA, EFODA, RDA
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 449-1610
Mailing address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 449-1610
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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