Individual
MELANIE JEAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7210 40TH ST W STE 320, UNIVERSITY PLACE, WA 98466-4319
(253) 565-1145
Mailing address
8211 118TH STREET CT SW, LAKEWOOD, WA 98498-5531
(253) 985-0503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60863147
WA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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