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Individual

DR. JENNIFER LEE CULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3333 BURNET AVE, ML 2006, CINCINNATI, OH 45229-3026
(513) 636-4641
(513) 636-8283
Mailing address
3333 BURNET AVE, ML 2006, CINCINNATI, OH 45229-3026
(513) 636-4641
(513) 636-8283

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22D102410200
NJ
1223P0221X
Pediatric Dentistry
Primary
30.024899
OH
1223P0221X
Pediatric Dentistry
DS038483
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0256447
NJ
Enumeration date
06/17/2009
Last updated
09/16/2016
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