Individual
MARCIN JASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6417 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4421
(815) 282-5233
Mailing address
227 FOXFIRE PL, ROCKTON, IL 61072-2993
(815) 742-2466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029790
IL
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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