Individual
JENNY R MAPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
153 W MAIN ST, NEW ALBANY, OH 43054
(614) 775-1000
(614) 855-8503
Mailing address
153 W MAIN ST, NEW ALBANY, OH 43054
(614) 775-1000
(614) 855-8503
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21227
OH
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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