Lisa Ann Jedacek, DMD is a student in an organized health care education training program in Bronx, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Lisa Ann Jedacek, DMD NPI is 1528650710. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1400 PELHAM PKWY S
BRONX, NY
ZIP 10461-197
Phone: (718) 918-3422
The enumeration date for this NPI number is 2/9/2021 and was last updated on 2/9/2021.