Provider Demographics
NPI:1659496057
Name:JASKIEL, ABRAHAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:
Last Name:JASKIEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 BRICKELL AVE
Mailing Address - Street 2:#207A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1621
Mailing Address - Country:US
Mailing Address - Phone:305-653-2231
Mailing Address - Fax:
Practice Address - Street 1:1865 BRICKELL AVE
Practice Address - Street 2:#207A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1621
Practice Address - Country:US
Practice Address - Phone:305-653-2231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN157771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice