| NPI | 1356726301 |
|---|---|
| Other Name | J.A.K. LLC |
| Entity Type | Organization |
| Authorized Contact | AISHA SADAF Owner 443-949-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 14374) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 12683) |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-08-21 |