Organization
STEVEN JAKUBAITIS DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JAKUBAITIS D.M.D. (PRESIDENT)
(941) 629-4400
Entity
Organization
Contact information
Practice address
2866 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5126
(941) 629-4400
(941) 764-0000
Mailing address
2866 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5126
(941) 629-4400
(941) 764-0000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11468
FL
Other
Enumeration date
09/13/2013
Last updated
10/04/2013
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