Individual
DR. JASON T CHIAKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
11354 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3855
(909) 799-7595
(909) 796-2950
Mailing address
11354 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3855
(909) 799-7595
(909) 796-2950
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40922
CA
Other
Enumeration date
05/04/2007
Last updated
02/19/2013
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