Individual
DR. JENNIFER LEE MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
423 LONG HILL RD, GROTON, CT 06340-3812
(860) 449-8330
Mailing address
423 LONG HILL RD, GROTON, CT 06340-3812
(860) 449-8330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9312
CT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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