Individual
JENNA NESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16701 HILLSIDE AVE, JAMAICA, NY 11432-4289
(718) 526-5999
Mailing address
679 MONROE ST, BROOKLYN, NY 11221-2813
(347) 406-1420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059817
NY
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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