Individual
JENNIFER LONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
750 E. ADAMS STREET, SYRACUSE, NY 13210
(315) 464-4148
Mailing address
750 E. ADAMS STREET, SYRACUSE, NY 13210
(315) 464-4148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058612
NY
Other
Enumeration date
04/27/2015
Last updated
03/20/2017
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