Individual
LENA JIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SAINT ANNES CHURCH RD, MIDDLETOWN, DE 19709-1495
(302) 378-8600
Mailing address
106 SAINT ANNES CHURCH RD, MIDDLETOWN, DE 19709-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001443
DE
1223G0001X
General Practice Dentistry
G1-0001443
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
11/27/2024
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