Individual
DR. JESSICA CHEVERTON LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
543 LONG POND RD, ROCHESTER, NY 14612-3073
(434) 665-0424
Mailing address
543 LONG POND RD, ROCHESTER, NY 14612-3073
(434) 665-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059346
NY
Other
Enumeration date
02/08/2016
Last updated
12/15/2020
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