Individual
JASMINE MARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9320A ROOSEVELT AVE FL 2, JACKSON HEIGHTS, NY 11372-7965
(718) 507-9100
(718) 507-7377
Mailing address
94 7TH ST, VALLEY STREAM, NY 11581-1215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064058
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2023
Last updated
10/16/2024
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