| 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 |