Individual
DR. JAKUB PIETROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 BODIN CIRCLE, 60DS/ORAL MAXILLOFACIAL SURGERY, TRAVIS AFB, CA 94535-1809
(707) 423-7085
Mailing address
101 BODIN CIRCLE, 60DS/ORAL MAXILLOFACIAL SURGERY, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21638
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS100544
CA
Other
Enumeration date
10/19/2005
Last updated
03/30/2023
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