Individual
JESSE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
322 STOCKHOLM ST, BROOKLYN, NY 11237-3514
(718) 690-9641
Mailing address
322 STOCKHOLM ST, BROOKLYN, NY 11237-3902
(718) 690-9641
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
058267
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058267
NY
Other
Enumeration date
09/16/2015
Last updated
11/10/2020
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