Individual
DR. JENNA ROSE OBENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3949 S NOVA RD, PORT ORANGE, FL 32127-4910
(386) 761-9440
Mailing address
201 CHELSEA PLACE AVE, ORMOND BEACH, FL 32174-0687
(904) 233-3559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24121
FL
Other
Enumeration date
06/05/2019
Last updated
04/12/2023
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