Individual
JACQUELINE MARIE LENOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
838 WESTERN AVE, ALBANY, NY 12203-2315
(518) 489-3201
Mailing address
488 BROADWAY APT 405, ALBANY, NY 12207-2915
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
065112
NY
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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