MRS. Knieeka Shanell Jake-Pacheco, DMD

NPI #1063645745 in Bryan, Texas

Provider Information

NPI Number: 1063645745
Entity Type: Individual
Name: MRS. Knieeka Shanell Jake-Pacheco, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DMD
Enumeration Date: Aug 28, 2009
Last Updated: Aug 28, 2018

Practice Location

Address: 3111 S TEXAS AVE
City: Bryan
State: Texas
ZIP Code: 77802
Phone: (979) 446-0270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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