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Individual
DR. JACLYN A TOMSIC
Active
Individual
DR. JACLYN A TOMSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30-022696
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2014025584
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.022696
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
35.136163
OH
208600000X
Surgery Physician
2014032411
MO
Other
Enumeration date
01/16/2008
Last updated
02/24/2023
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