DR. Jennifer Marie Stidham, DMD

NPI #1396843330 in Bartow, Florida

Provider Information

NPI Number
1396843330
Entity Type
Individual
Name
DR. Jennifer Marie Stidham, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Sep 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
620 E DAVIDSON ST
City
Bartow
State
Florida
ZIP Code
33830-4051
Phone
(863) 533-4331

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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