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1457484461
JACK B SIEGRIST
IRVING, TX
NPI
1457484461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 9950)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- JACK B SIEGRIST D.D.S.
5205 N O CONNOR BLVD #150
IRVING, TX 75039-3707
Phone number: 972-556-2122
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Mailing Address
-- JACK B SIEGRIST D.D.S.
2100 TREE TOP CT
GRANBURY, TX 76049-8067
Phone number: 972-556-2122
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