JARREL LEELAND TACKETT

MARS, PA
NPI1235353277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PA  DS0269009L)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- JARREL LEELAND TACKETT DMD
221 CROWE AVE
MARS, PA 16046-0409
Phone number: 724-625-2530
Mailing Address
-- JARREL LEELAND TACKETT DMD
PO BOX 409 221 CROWE AVE
MARS, PA 16046-0409
Phone number: 724-625-2530
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