Individual
DR. JENNA ILANA HEITZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1313 GRAND ST APT 506, HOBOKEN, NJ 07030-2253
(914) 815-4873
Mailing address
1313 GRAND ST APT 506, HOBOKEN, NJ 07030-2253
(914) 815-4873
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI03007400
NJ
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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