Individual
JESSICA SENAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059257
NY
122300000X
Dentist
22DI02670500
NJ
Other
Enumeration date
05/09/2016
Last updated
03/31/2018
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