Individual
JENNIFER PARESS CAROLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-3580
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-3580
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS039509
PA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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