JAKE LAXER

WPAFB, OH
NPI1417578717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NC  11866)
Enumeration Date2020-04-28
Last Update Date2025-08-13
Business Address
JAKE LAXER
4881 SUGAR MAPLE DR
WPAFB, OH 45433-5529
Phone number: 937-257-8761
Mailing Address
JAKE LAXER
88TH MEDICAL GROUP 4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Phone number: