JENNALEE DICICCO

HACKENSACK, NJ
NPI1689102030
Former NameJENNALEE ERNST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-30
Last Update Date2018-05-15
Business Address
JENNALEE DICICCO DMD
30 PROSPECT AVE
HACKENSACK, NJ 07601
Phone number: 551-996-5593
Mailing Address
JENNALEE DICICCO DMD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000