DR. Brian R Jakusz, DDS

NPI #1619042686 in Colgate, Wisconsin

Provider Information

NPI Number
1619042686
Entity Type
Individual
Name
DR. Brian R Jakusz, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 22, 2006
Last Updated
Apr 29, 2011

Practice Location

Address
N95W25901 CTY HWY Q
Address 2
SUITE I
ZIP Code
53017-9225
Phone
(262) 628-0555

Specialties & Taxonomy Codes

Specialty
Dentist

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