Individual
JENIFFER JENN PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2137 HWY 35 STE 240, HOLMDEL, NJ 07733-1083
(732) 410-5388
Mailing address
2137 HWY 35 STE 240, HOLMDEL, NJ 07733-1083
(732) 410-5388
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI03037400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2022
Last updated
02/06/2025
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