Individual
JENNIFER HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(603) 496-1147
Mailing address
29 SUNSHINE DR, MARLBOROUGH, MA 01752-2743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858325
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
04/09/2020
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