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Individual

JASMINE FELIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
74 PASCACK RD, PARK RIDGE, NJ 07656-1935
(201) 556-0006
Mailing address
134 W 93RD ST APT 7C, NEW YORK, NY 10025-9303

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063597
NY

Other

Enumeration date
02/22/2019
Last updated
01/02/2024
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