Individual
DR. JAMES RAY JENKINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 EVERGREEN RD STE 101, GAMBRILLS, MD 21054
(225) 810-7962
Mailing address
2410 EVERGREEN RD STE 101, GAMBRILLS, MD 21054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
16592
MD
1223P0221X
Pediatric Dentistry
Primary
16592
MD
390200000X
Student in an Organized Health Care Education/Training Program
008416067
LA
Other
Enumeration date
05/27/2014
Last updated
02/06/2019
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