Individual
JACQUELINE MARCY WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
515 MADISON AVE RM 3303, NEW YORK, NY 10022-5415
(212) 751-1333
Mailing address
10255 67TH DR APT LA, FOREST HILLS, NY 11375-2822
(718) 208-9857
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023692
NY
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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