NPI | 1972061364 |
---|---|
Doing Business As | DR ERIC JACKREL, DMD, PC |
Entity Type | Organization |
Authorized Contact | LORIN ERIC JACKREL Dentist 480-897-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-03-05 |
Last Update Date | 2019-03-05 |