Individual
DR. JOHN VERNON JETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
86 CENTER ST, WATERLOO, NY 13165-1026
(315) 539-3051
(315) 539-3051
Mailing address
86 CENTER ST, WATERLOO, NY 13165-1026
(315) 539-3051
(315) 539-3051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034169
NY
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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