Individual
DR. DAVID JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
180 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7052
(201) 768-0018
Mailing address
32 GREENWOODS RD, OLD TAPPAN, NJ 07675-7039
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI01599700
NJ
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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