Individual
DR. JENTEL OUGRAH WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 456-8844
Mailing address
2648 MEYER ST, DUPONT, WA 98327-8711
(804) 892-9077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415546
VA
122300000X
Dentist
Primary
DE61051267
WA
Other
Enumeration date
10/14/2007
Last updated
03/01/2021
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