JACK ROSS ACHEATEL

NORTHRIDGE, CA
NPI1194027698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  20143)
Enumeration Date2010-12-03
Last Update Date2010-12-03
Business Address
-- JACK ROSS ACHEATEL
18856 ROSCOE BLVD
NORTHRIDGE, CA 91324
Phone number: 818-885-7116
Mailing Address
-- JACK ROSS ACHEATEL
18856 ROSCOE BLVD
NORTHRIDGE, CA 91324
Phone number: 818-885-7116
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