Individual
DR. JENNA ZONNEVELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 BERGEN ST, ORAL MEDICINE CLINIC - UMDNJ, NEWARK, NJ 07103-2495
(412) 720-6624
Mailing address
9 PARK AVE, APT 2A, RUTHERFORD, NJ 07070-1711
(412) 720-6624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DR02323
NJ
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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