Samantha Jette Dds - Professional Corporation | |
103 Steele St Bridgeport WV 26330-1068 | |
(304) 842-0441 | |
Not Available |
Full Name | Samantha Jette Dds - Professional Corporation |
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Speciality | Clinic/center - Dental |
Location | 103 Steele St, Bridgeport, West Virginia |
Authorized Official Name and Position | Samantha Jette (PRESIDENT) |
Authorized Official Contact | 3042821640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Samantha Jette Dds - Professional Corporation 103 Steele St Bridgeport WV 26330-1068 Ph: (304) 842-0441 | Samantha Jette Dds - Professional Corporation 103 Steele St Bridgeport WV 26330-1068 Ph: (304) 842-0441 |
NPI Number | 1881288058 |
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Provider Enumeration Date | 02/27/2021 |
Last Update Date | 02/27/2021 |
Identifier | Type | State | Issuer |
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1881288058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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