Individual
JENNIFER PERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
301 PROSPECT AVE, MEDICAL EDUCATION DEPARTMENT, SYRACUSE, NY 13203-1807
(315) 448-5547
Mailing address
301 PROSPECT AVE, MEDICAL EDUCATION DEPARTMENT, SYRACUSE, NY 13203-1807
(315) 448-5547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856481
MA
Other
Enumeration date
07/23/2013
Last updated
01/11/2018
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