Individual
JASMYNE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6200 S MCCLINTOCK DR STE 111, TEMPE, AZ 85283-3449
(480) 664-2270
Mailing address
1901 N GRANT ST APT 719, DENVER, CO 80203-1573
(503) 758-6727
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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