Individual
DR. ROBERT ALLEN JAZGAR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2355 TILTON CT, BROOKFIELD, WI 53045-4282
(262) 784-2675
Mailing address
8112 W BLUEMOUND RD, 102, WAUWATOSA, WI 53213-3356
(414) 258-3043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4001794E
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33514100
—
WI
Enumeration date
06/06/2007
Last updated
07/09/2007
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