DR. Paul Joseph Jackanich JR., DDS

NPI #1689622359 in Polano, Ohio

Provider Information

NPI Number: 1689622359
Entity Type: Individual
Name: DR. Paul Joseph Jackanich JR., DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 841 SOUTHWESTERN RUN
Address 2: STE 1
City: Polano
State: Ohio
ZIP Code: 44514
Phone: (330) 629-2270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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