Individual
TERA LEATRICE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
82 HOLLAND ST, ROCHESTER, NY 14605-2131
(585) 423-5800
Mailing address
82 HOLLAND ST, ROCHESTER, NY 14605-2131
(585) 423-5800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH020554
NY
Other
Enumeration date
05/24/2012
Last updated
07/30/2021
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