| J.a.k. Llc | |
|
352 Thompson Creek Mall Stevensville MD 21666-2500 | |
| (410) 934-0123 | |
| (410) 934-0124 |
| Full Name | J.a.k. Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 352 Thompson Creek Mall, Stevensville, Maryland |
| Authorized Official Name and Position | Aisha Sadaf (OWNER) |
| Authorized Official Contact | 4439492298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.a.k. Llc 352 Thompson Creek Mall Stevensville MD 21666-2500 Ph: (410) 934-0123 | J.a.k. Llc 352 Thompson Creek Mall Stevensville MD 21666-2500 Ph: (410) 934-0123 |
| NPI Number | 1356726301 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356726301 | NPI | - | NPPES |
| 071636700 | Medicaid | MD | |
| 415749400 | Medicaid | MD | |
| 086220700 | Medicaid | MD | |
| 058463100 | Medicaid | MD |
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