DR. Jennifer Ann Vicente, DDS

NPI #1699954743 in Brandon, Florida

Provider Information

NPI Number: 1699954743
Entity Type: Individual
Name: DR. Jennifer Ann Vicente, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 25, 2007
Last Updated: Apr 13, 2010

Practice Location

Address: 1157 PROFESSIONAL PARK DR
Address 2: BUILDING #13
City: Brandon
State: Florida
ZIP Code: 33511-4887
Phone: (734) 604-9902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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