Individual
MINALIE JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8610 ROOSEVELT AVE STE 31, JACKSON HEIGHTS, NY 11372-7511
(917) 810-7104
Mailing address
8747 SANTA RIDGE CIR, ELK GROVE, CA 95624-2239
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
065183-01
NY
Other
Enumeration date
04/27/2022
Last updated
11/06/2025
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