Most Relevant Information
Provider Data
| NPI Number: | 1003510793 |
| Provider Name: | KATHERINE BURTS JENNELL RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 0402003276 |
Most Important Dates
| Enumeration Date: | 03/28/2023 |
| Last Updated: | 03/28/2023 |
Provider Practice Location
719 N 25TH ST
RICHMOND
VA
232236539
Practice Location Phone/Fax
| Phone: | 8047800840 |
| Fax: | 8043291206 |
Provider Mailing Location
2809 NORTH AVE
RICHMOND
VA
232223647
Provider Mailing Phone/Fax
| Phone: | 8049444504 |
| Fax: | 8043291206 |