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Organization
NICHOLAS S. JAKSIC, DDS, INC.
Active
Organization
NICHOLAS S. JAKSIC, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS STEPHEN JAKSIC DDS (PRESIDENT)
(310) 832-1181
Entity
Organization
Contact information
Practice address
1360 W 6TH ST STE 285, SAN PEDRO, CA 90732-3558
(310) 832-1181
(310) 832-3722
Mailing address
1360 W 6TH ST STE 285, SAN PEDRO, CA 90732-3558
(310) 832-1181
(310) 832-3722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38058
CA
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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