DR. Keith W Jaeschke, D.D.S.

NPI #1801800412 in Morris, Illinois

Provider Information

NPI Number
1801800412
Entity Type
Individual
Name
DR. Keith W Jaeschke, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1545 CREEK DR
City
Morris
ZIP Code
60450-6857
Phone
(815) 942-0182

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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