Individual
DR. JEREMY KRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
175 NEWARK AVE, SUITE 2B, JERSEY CITY, NJ 07302-2859
(908) 370-2531
Mailing address
30 REGENT ST, APT 109, JERSEY CITY, NJ 07302-7346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029697
IL
Other
Enumeration date
05/18/2015
Last updated
05/05/2017
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