Individual
DR. STEPHEN WILLIAM JAKSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S,
Contact information
Practice address
4801 HIGHWAY 61 N, SUITE 301, WHITE BEAR LAKE, MN 55110-2737
(651) 762-8474
(651) 762-7821
Mailing address
4801 HIGHWAY 61 N, SUITE 301, WHITE BEAR LAKE, MN 55110-2737
(651) 762-8474
(651) 762-7821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9008
MN
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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