Provider Demographics
NPI:1376568337
Name:NAJJAR, JENNY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:
Last Name:NAJJAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:JUNCAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1905 ORANGE AVE
Mailing Address - Street 2:APT #: 501
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5389
Mailing Address - Country:US
Mailing Address - Phone:909-798-8971
Mailing Address - Fax:
Practice Address - Street 1:11201 BENTON ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-1000
Practice Address - Country:US
Practice Address - Phone:909-583-6127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49555122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist