Individual
JACEK D JASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2005 N 90TH ST, OMAHA, NE 68134-6002
(402) 551-9533
Mailing address
202 S 38TH ST APT 300, COUNCIL BLUFFS, IA 51501-3398
(847) 770-1716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7939
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
06/27/2023
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