Jenna Marie Vandewater
Jenna Marie Vandewater is a Student in an Organized Health Care Education/Training Program in Sunrise, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
4500 N Hiatus Rd Ste 202Sunrise, FL 33351-7983
Phone: (866) 988-4504
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1 Kneeland St, Boston, MA 02111-1529 — (617) 636-6828
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 25241 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1558983429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2020 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | July 1, 2024 |
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