JERRY JACK

MOORE, OK
NPI1265463467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  3903)
Enumeration Date2006-07-05
Last Update Date2007-07-08
Business Address
-- JERRY JACK DDS
1740 N SERVICE RD
MOORE, OK 73160-3307
Phone number: 405-794-7200
Mailing Address
-- JERRY JACK DDS
555 W BENJAMIN HOLT DR BUILDING B
STOCKTON, CA 95207-3839
Phone number: 209-476-4700