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1932311164
JACK ROBERTS
AUSTIN, TX
NPI
1932311164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 09944)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Dr. JACK ROBERTS DDS
4409 PACK SADDLE PASS
AUSTIN, TX 78745-1623
Phone number: 512-444-1871
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Mailing Address
Dr. JACK ROBERTS DDS
4409 PACK SADDLE PASS
AUSTIN, TX 78745-1623
Phone number: 512-444-1871
Copy
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