Individual
THOMAS JAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20350 WATER TOWER BLVD STE 10, BROOKFIELD, WI 53045-3558
(262) 327-6100
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 643-2196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9789
NC
Other
Enumeration date
08/05/2014
Last updated
06/10/2021
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