Individual
JESSIE RACHELLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1580 PORT WASHINGTON RD, GRAFTON, WI 53024-9783
(262) 618-4204
Mailing address
2249 NEW PORT VISTA DR, GRAFTON, WI 53024-9387
(801) 691-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002636-15
WI
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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