Individual
DR. JOHN ROBERT JAICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
590 FARRINGTON HWY UNIT 523, KAPOLEI, HI 96707-2034
(808) 674-9988
Mailing address
590 FARRINGTON HWY UNIT 523, KAPOLEI, HI 96707-2034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026526
OH
122300000X
Dentist
Primary
DT-3135
HI
Other
Enumeration date
06/06/2021
Last updated
01/09/2024
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