DR. Jessica Tailing Desouza, DDS

NPI #1043530496 in Brooklyn, New York

Provider Information

NPI Number: 1043530496
Entity Type: Individual
Name: DR. Jessica Tailing Desouza, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 8, 2010
Last Updated: Sep 2, 2014

Practice Location

Address: 123 7TH AVE
Address 2: 108
City: Brooklyn
State: New York
ZIP Code: 11215-1301
Phone: (917) 204-0961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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