Individual
JASMINE HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 PHOENIX BLVD STE 100, COLLEGE PARK, GA 30349-5062
(770) 609-3242
Mailing address
9491 WILLIAM LITTLE DR, LAKELAND, TN 38002-9479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123510
GA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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