Individual
DR. JENNIFFER RENDON-VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3817 GRUBER RD, FORT BRAGG, NC 28310-8925
(910) 396-1571
Mailing address
4027 SOUTHERN OAKS DR UNIT 2, FAYETTEVILLE, NC 28314-0987
(201) 478-1046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02691100
NJ
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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