Individual
JENNA LEE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Mailing address
9 RIVER REACH CT APT C, ALTON, IL 62002-7396
(916) 474-0580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019035220
IL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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