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Contact Information

JENNIFER D BANTUGAN, EFDA, EFODA, RDA
12711 SE MILL PLAIN BLVD
VANCOUVER, WA98684-6053
 Phone: 360-449-1610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for JENNIFER D BANTUGAN · (Female)

NPI # 1770355307
Status Active
Credentials EFDA, EFODA, RDA
Entity Individual
Enumeration date 10/26/2023
Last updated 10/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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