Individual
TERRENCE J JAKUBANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2277 W 2ND AVE, DURANGO, CO 81301-4658
(970) 247-8228
(970) 259-9150
Mailing address
7636 COUNTY ROAD 250, DURANGO, CO 81301-8625
(970) 247-8228
(970) 259-9150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HD105280
CO
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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