Individual
DR. KENNETH L JAGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1423 TILTON RD STE 2, NORTHFIELD, NJ 08225-1857
(609) 646-9100
(609) 646-6810
Mailing address
1423 TILTON RD STE 2, NORTHFIELD, NJ 08225-1857
(609) 646-9100
(609) 646-6810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101139300
NJ
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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