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Individual

JACQUELINE JAKUBIEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
4333 W BAY TO BAY BLVD, TAMPA, FL 33629-6606
(813) 837-5147
(813) 839-2185
Mailing address
4333 W BAY TO BAY BLVD, TAMPA, FL 33629-6606

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22037
FL

Other

Enumeration date
07/07/2016
Last updated
07/07/2016
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