Molly Ann Jenkins DDS

NPI 1104802115 - Dentist - 1223G0001X

NPI Details
NPI 1104802115
Gender Female
Enumeration Date 12/21/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3001 6TH ST
STE A
GREAT LAKES IL, 60088-2833, US
Phone (847) 688-2100
Fax
Business Location
1330 S WHITE OAK DR
#523
WAUKEGAN IL, 60085-8374, US
Phone (847) 688-2100
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 19433
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According to our database, Dr. Molly Ann Jenkins DDS NPI is 1104802115, taxonomy code is 1223G0001X and license number is 19433, license state is located at Texas. Molly Ann Jenkins DDS physically located at 3001 6th St, Great Lakes IL, 60088-2833. NPI Number Molly Ann Jenkins DDS has the Individual type.

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1104802115 NPI number is provided on an as is basis without warranty of any kind. 1104802115 is maintained by the National Plan & Provider Enumeration System. The contents of Molly Ann Jenkins DDS are for informational purposes only.