Provider Demographics
NPI:1588189658
Name:MANUBAY, JASMINE ONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:ONG
Last Name:MANUBAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 MILMONT DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3052
Mailing Address - Country:US
Mailing Address - Phone:408-942-7791
Mailing Address - Fax:
Practice Address - Street 1:1786 MILMONT DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3052
Practice Address - Country:US
Practice Address - Phone:408-942-7791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101882122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist