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Individual

DR. JENNIFER RAE BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
1 POWELTON RD, NEWBURGH, NY 12550-2229
(845) 476-3777
Mailing address
4 MARTINE AVE, APT 406, WHITE PLAINS, NY 10606-4016
(914) 409-8851

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055053
NY

Other

Enumeration date
07/29/2010
Last updated
04/19/2016
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