Individual
DR. WALTER E JAKIELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1392 WEIMER ROAD, SUITE 1, TAOS, NM 87571
(505) 758-8654
(505) 737-0970
Mailing address
1392 WEIMER ROAD, SUITE 1, TAOS, NM 87571
(505) 758-8654
(505) 737-0970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1646
NM
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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