Organization
JENX FAMILY DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE STEWART-JOSEPH DDS (AGENT/OWNER)
(443) 564-3617
Entity
Organization
Contact information
Practice address
7850 ROSSVILLE BLVD STE 210, BALTIMORE, MD 21236-3934
(443) 564-3617
Mailing address
6716 GLENKIRK RD, BALTIMORE, MD 21239-1410
(443) 564-3617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051488800
—
MD
Enumeration date
03/29/2019
Last updated
12/11/2024
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