Wollenberg, Jessica Lillian
Wollenberg, Jessica Lillian is an individual health care provider with primary practice located at 447 Route 10 Suite 5, Randolph NJ 07869-2132. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Wollenberg, Jessica Lillian can be contacted via phone (973) 328-0464.Contact Information
Primary practice address
447 Route 10 Suite 5
Randolph NJ 07869-2132
Phone: (973) 328-0464
Fax: (973) 328-3405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 22DI02546000 | New Jersey |
Profile Details
| NPI number | 1770801888 |
|---|---|
| LBN Legal business name | Wollenberg, Jessica Lillian |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2010 |
| Last updated | Oct 8th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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