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Individual

DR. JENNIFER MARIE FORSYTHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2411 7TH AVE, APT 1N, NEW YORK, NY 10030-1854
(347) 490-9924
Mailing address
2411 7TH AVE, APT 1N, NEW YORK, NY 10030-1854

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056388
NY

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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