JAKE MODERY

AMARILLO, TX
NPI1205217445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  30983)
Enumeration Date2015-06-13
Last Update Date2016-09-01
Business Address
-- JAKE MODERY D.D.S.
9200 TOWN SQUARE BLVD SUITE 1090
AMARILLO, TX 79119-1250
Phone number: 806-731-1180
Mailing Address
-- JAKE MODERY D.D.S.
5902 S FANNIN ST
AMARILLO, TX 79118-8807
Phone number: 806-731-1180
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