Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Dabu Bantugan, EFDA, EFODA, RDA

Individual provider Dental Assistant · NPI 1770355307

Jennifer Dabu Bantugan, EFDA, EFODA, RDA is a Dental Assistant in Vancouver, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12711 SE Mill Plain Blvd
Vancouver, WA 98684-6053
Phone: (360) 449-1610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1770355307
Entity typeIndividual (Type 1)
GenderFemale
Credentials EFDA , EFODA , RDA
Sole proprietorNo
NPI enumeratedOctober 26, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

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