Individual
MS. JENNA LYN SIEGRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
39 NORTH RD APT 3, APT#3, HIGHLAND, NY 12528-1016
(607) 761-6373
Mailing address
39 NORTH RD, APT#3, HIGHLAND, NY 12528-1016
(607) 761-6373
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024269-1
NY
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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