Provider Information for 1649678970
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JENNA WARD D.M.D.
Other Names:Former Name:JENNA MARCINCZYK DMDSex: Female
NPI: 1649678970
Last Updated: 2023-09-17
Certification Date: 2023-09-17
Certification Date: 2023-09-17
Details
| Name | Value | ||||||||
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| NPI | 1649678970 | ||||||||
| Enumeration Date | 2014-12-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 120 STERLING RD TRUMBULL, CT 06611-2302 United States Phone: 203-913-6036 | Fax: | ||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06032-1956 United States Phone: 860-679-3333 | Fax: | ||||||||
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