Organization
SAMANTHA JETTE DDS - PROFESSIONAL CORPORATION
Active
Other names
Bridgeport Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA JETTE DDS (PRESIDENT)
(304) 282-1640
Entity
Organization
Contact information
Practice address
103 STEELE ST, BRIDGEPORT, WV 26330-1068
(304) 842-0441
Mailing address
103 STEELE ST, BRIDGEPORT, WV 26330-1068
(304) 842-0441
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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