Jasper Family Dental

NPI #1699104000 in Jasper, Texas

Provider Information

NPI Number: 1699104000
Entity Type: Organization
Organization Name: Jasper Family Dental
Primary Specialty: Dentist
Enumeration Date: Nov 6, 2013
Last Updated: Sep 16, 2022

Practice Location

Address: 329 E GIBSON ST
City: Jasper
State: Texas
ZIP Code: 75951-5028
Phone: (409) 489-0066

Authorized Official

Name: DR. GEETIKA RASTOGI
Title: OWNER
Phone: (832) 369-6941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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