Individual
JENNIFER SUSAN COMBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
COMDT (CG-1122), U S COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(609) 989-6960
Mailing address
203 OAKDALE AVE, VILLAS, NJ 08251-1334
(609) 889-2153
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00682000
NJ
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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