Individual
JARED JACOBSKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 BLOOMFIELD AVE, WINDSOR, CT 06095-2808
(860) 688-4325
Mailing address
62 BLOOMFIELD AVE, WINDSOR, CT 06095-2808
(860) 688-4325
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
12617
CT
Other
Enumeration date
05/09/2018
Last updated
05/01/2024
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