BRIAN LEWIS JAQUES

SEMINOLE, FL
NPI1023458379
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  8370)
Enumeration Date2013-07-01
Last Update Date2016-05-10
Business Address
Dr. BRIAN LEWIS JAQUES DMD
9200 113TH ST
SEMINOLE, FL 33772-2800
Phone number: 727-394-6905
Mailing Address
Dr. BRIAN LEWIS JAQUES DMD
PO BOX 1317
MONCKS CORNER, SC 29461-1317
Phone number: 843-899-5911
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