Individual
DR. CORY BRYAN JAETZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2131 N COLLINS, STE 415, ARLINGTON, TX 76011
(817) 277-7800
(817) 274-0300
Mailing address
8430 BRITTANIA WAY, DALLAS, TX 75243
(214) 704-8278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22735
TX
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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