Robert Allen Jazgar I DDS

NPI 1053514471 - Dentist - 122300000X

NPI Details
NPI 1053514471
Gender Male
Enumeration Date 06/06/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2355 TILTON CT
BROOKFIELD WI, 53045-4282, US
Phone (262) 784-2675
Fax
Business Location
8112 W BLUEMOUND RD
102
WAUWATOSA WI, 53213-3356, US
Phone (414) 258-3043
Fax
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 4001794E
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According to our database, Dr. Robert Allen Jazgar I DDS NPI is 1053514471, taxonomy code is 122300000X and license number is 4001794E, license state is located at Wisconsin. Robert Allen Jazgar I DDS physically located at 2355 Tilton Ct, Brookfield WI, 53045-4282. NPI Number Robert Allen Jazgar I DDS has the Individual type.

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1053514471 NPI number is provided on an as is basis without warranty of any kind. 1053514471 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Allen Jazgar I DDS are for informational purposes only.