Individual
JAY JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 1ST ST, SUITE 650, BRADENTON, FL 34208-4400
(941) 749-1740
Mailing address
1770 N WICKHAM RD, MELBOURNE, FL 32935-8122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN3568
FL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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