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1083718415
CORY BRYAN JAETZOLD
ARLINGTON, TX
NPI
1083718415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 22735)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Dr. CORY BRYAN JAETZOLD DDS
2131 N COLLINS STE 415
ARLINGTON, TX 76011
Phone number: 817-277-7800
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Mailing Address
Dr. CORY BRYAN JAETZOLD DDS
8430 BRITTANIA WAY
DALLAS, TX 75243
Phone number: 214-704-8278
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