DR. Patrick M Jaeckle, D.D.S.

NPI #1508172412 in Spicewood, Texas

Provider Information

NPI Number: 1508172412
Entity Type: Individual
Name: DR. Patrick M Jaeckle, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 30, 2010
Last Updated: Aug 30, 2010

Practice Location

Address: 311 ANGEL SONG CV
City: Spicewood
State: Texas
ZIP Code: 78669-6710
Phone: (512) 784-8343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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