Individual
JENNIFER MARY DOUEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 HOOPER AVE, TOMS RIVER, NJ 08753-3324
(732) 281-8315
Mailing address
1842 CHARLTON CIR, TOMS RIVER, NJ 08755-1481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02975800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2023
Last updated
03/07/2024
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