Individual
DR. JASNENA MAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5167 CLAYTON RD STE D, CONCORD, CA 94521-3163
(925) 254-4777
Mailing address
3093 BROADWAY UNIT 632, OAKLAND, CA 94611-5952
(734) 709-0755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022406
MI
1223P0221X
Pediatric Dentistry
Primary
107431
CA
Other
Enumeration date
11/28/2017
Last updated
02/08/2023
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