Individual
DR. THOMAS R JAZWIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8241 S HOWELL AVE, OAK CREEK, WI 53154-8346
(414) 939-1024
(414) 762-5974
Mailing address
8241 S HOWELL AVE, OAK CREEK, WI 53154-8346
(414) 939-1024
(414) 762-5974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6413-15
WI
Other
Enumeration date
06/12/2009
Last updated
10/07/2016
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