Individual
DR. JENNIFER CHARLESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9 CENTURY HILL DR, LATHAM, NY 12110-6102
(518) 785-3911
(518) 785-4910
Mailing address
9 CENTURY HILL DR, LATHAM, NY 12110-6102
(518) 785-3911
(518) 785-4910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052743
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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