Individual
DR. JENNIFER NICOLE LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2500 VILLAGE DR STE 101, FAYETTEVILLE, NC 28304-3982
(910) 424-3623
Mailing address
4006 BEAUBIEN DR, FAYETTEVILLE, NC 28306-2896
(210) 381-5366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37859
TX
1223G0001X
General Practice Dentistry
37859
TX
Other
Enumeration date
08/31/2016
Last updated
10/14/2024
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