NPI 1023297074

Marie F Jean, RDH

Practitioner Dental Hygienist Ridgewood, NY

Practice location

Address: 5431 Myrtle Ave, Ridgewood, NY 11385-3403
Phone: (718) 456-7600
Fax: (718) 821-3976
Mailing address: 18225 Wexford Ter APT 405, Jamaica, NY 11432-3102

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 000909 (NY)

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Registry record

NPI: 1023297074
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2007
Record last updated: 26 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.