Individual
JASMINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 SPENCER HWY STE J, LA PORTE, TX 77571-3897
(281) 394-0517
Mailing address
1911 HOLCOMBE BLVD APT 1305, HOUSTON, TX 77030-4188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34475
TX
1223G0001X
General Practice Dentistry
34475
TX
Other
Enumeration date
09/05/2018
Last updated
05/20/2022
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