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Contact Information

JASMINE B GONZALES, DMD
COMMANDING OFFICER
100 BREWSTER BLVD
CAMP LEJEUNE, NC28445
 Phone: 910-450-2208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JASMINE B GONZALES · (Female)

NPI Number 1033094511
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/06/2025
Last updated 08/06/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • PA License # DS045376
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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