Individual
JENNIFER JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9334
(716) 828-9355
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9334
(716) 828-9355
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
027272-1
NY
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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