Individual
DR. JENNA WINOKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
870 RIVER AVE, LAKEWOOD, NJ 08701-5280
(732) 370-3700
Mailing address
870 RIVER AVE, LAKEWOOD, NJ 08701-5280
(732) 370-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
400075
MA
1223P0221X
Pediatric Dentistry
Primary
22DI02583500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02583500
STATE OF NEW JERSEY, DENTAL BOARD
NJ
Enumeration date
07/19/2012
Last updated
01/15/2016
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