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1154475226
SAMUEL J MITSCHKE
LAKE JACKSON, TX
NPI
1154475226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TX 21826)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
DR. SAMUEL J MITSCHKE DDS
201 OAK DR S SUITE 206
LAKE JACKSON, TX 77566-5676
Phone number: 979-297-2491
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Mailing Address
DR. SAMUEL J MITSCHKE DDS
201 OAK DR S SUITE 206
LAKE JACKSON, TX 77566-5676
Phone number: 979-297-2491
Copy
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