Individual
CYNTHIA JAKUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N112W16760 MEQUON RD, GERMANTOWN, WI 53022-5814
(262) 255-7820
Mailing address
2388 BALL DR, RICHFIELD, WI 53076-9515
(262) 644-0335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5490-015
WI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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