Individual
DR. JENNIFER KAY WOOLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5301 E STATE ST, SUITE 306, ROCKFORD, IL 61108-2901
(815) 399-2542
Mailing address
5301 E STATE ST, SUITE 306, ROCKFORD, IL 61108-2901
(815) 399-2542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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