Individual
MRS. MARIE F JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5431 MYRTLE AVE, RIDGEWOOD, NY 11385-3403
(718) 456-7600
(718) 821-3976
Mailing address
18225 WEXFORD TER APT 405, JAMAICA, NY 11432-3102
(718) 739-2847
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000909
NY
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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