Provider Demographics
NPI:1124702881
Name:FALDU, JASMINE (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:
Last Name:FALDU
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 VINTAGE CIR UNIT 1203
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6689
Mailing Address - Country:US
Mailing Address - Phone:732-597-2180
Mailing Address - Fax:
Practice Address - Street 1:2084 FOURTH ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4460
Practice Address - Country:US
Practice Address - Phone:925-447-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1070441223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics