DR. Charles Michael Jenness, DDS

NPI #1952358236 in Apo Ae, New York

Provider Information

NPI Number
1952358236
Entity Type
Individual
Name
DR. Charles Michael Jenness, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
CMR 402
Address 2
LANDSTHUL DENTAL ACTIVITY CREDENTIALS OFFICE
City
Apo Ae
ZIP Code
09180
Phone
(637) 192-9130

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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