Individual
DR. JENNIFER MARIE MENDOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1025 NORTHERN BLVD, SUITE 101, ROSLYN, NY 11576-1506
(516) 627-2234
(516) 627-7031
Mailing address
165 WICKHAM RD, GARDEN CITY, NY 11530-1133
(516) 643-4505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051211-1
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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