Marcin Jasek, D.D.S

NPI #1164836748 in Rockford, Illinois

Provider Information

NPI Number: 1164836748
Entity Type: Individual
Name: Marcin Jasek, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jun 11, 2014
Last Updated: Jun 11, 2014

Practice Location

Address: 6417 E RIVERSIDE BLVD
City: Rockford
State: Illinois
ZIP Code: 61114-4421
Phone: (815) 282-5233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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