Individual
DR. JESSICA MORGAN GRENFELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
WOODHULL MEDICAL CENTER, 760 BROADWAY, BROOKLYN, NY 11206
(718) 963-8322
Mailing address
6112 LINDEN ST APT 2R, RIDGEWOOD, NY 11385-3323
(646) 573-4410
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061086
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
10/12/2020
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