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1497301691
JASON MICHAEL FACKENDER
FORT HOOD, TX
NPI
1497301691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN24276)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
Dr. JASON MICHAEL FACKENDER DMD
36000 DARNALL LOOP
FORT HOOD, TX 76544-5095
Phone number: 254-287-2705
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Mailing Address
Dr. JASON MICHAEL FACKENDER DMD
36000 DARNALL LOOP
FORT HOOD, TX 76544-5095
Phone number:
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