Most Relevant Information
Provider Data
| NPI Number: | 1003507211 |
| Provider Name: | JASMIN ALAYSHA GALLUP |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 8724 |
Most Important Dates
| Enumeration Date: | 05/18/2023 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
4 DEARFIELD DR
GREENWICH
CT
068315351
Practice Location Phone/Fax
| Phone: | 2034225437 |
| Fax: |
Provider Mailing Location
1 GREYROCK PL APT 3109
STAMFORD
CT
069013139
Provider Mailing Phone/Fax
| Phone: | 8602168801 |
| Fax: |