Organization
JENNIFER LONNEN DDS PLLC
Active
Other names
Cicero Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LONNEN DDS (PRESIDENT)
(315) 699-1919
Entity
Organization
Contact information
Practice address
6221 RT 31 STE 102, CICERO, NY 13039
(315) 699-1919
Mailing address
6221 RT 31 STE 102, CICERO, NY 13039
(315) 699-1919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058612
NY
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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