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Individual

DR. JENNIFER E WILLIAMS TINNEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
8919 PARALLEL PKWY, SUITE 309, KANSAS CITY, KS 66112-1636
(913) 299-0704
(913) 299-3008
Mailing address
8919 PARALLEL PKWY, SUITE 309, KANSAS CITY, KS 66112-1636
(913) 299-0704
(913) 299-3008

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60342
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200328200A
KS
Enumeration date
10/11/2005
Last updated
12/12/2012
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