Individual
DR. JENNIFER A RAWLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
90 S HAMILTON ST, POUGHKEEPSIE, NY 12601-4412
(845) 473-0683
(845) 473-0684
Mailing address
201 SOUTH AVE, SUITE 504, POUGHKEEPSIE, NY 12601-4812
(845) 473-0683
(845) 473-0684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048084-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01960732
—
NY
01
—
048084-1
LICENSE NO.
NY
Enumeration date
02/12/2007
Last updated
05/06/2021
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