JACK LEE SCHRADER

SIERRA VISTA, AZ
NPI1457313579
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AZ  AZ2165)
Enumeration Date2006-04-04
Last Update Date2007-07-08
Business Address
DR. JACK LEE SCHRADER DDS
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635-4614
Phone number: 520-458-2415
Mailing Address
DR. JACK LEE SCHRADER DDS
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635-4614
Phone number: 520-458-2415
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