Individual
JEFFREY M JASKOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22151 MOROSS RD, SUITE G34, DETROIT, MI 48236-2167
(313) 882-4970
(313) 882-3654
Mailing address
22151 MOROSS RD, SUITE G34, DETROIT, MI 48236-2167
(313) 882-4970
(313) 882-3654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014224
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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