Individual
DR. KEITH W JAESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1545 CREEK DR, MORRIS, IL 60450-6857
(815) 942-0182
Mailing address
1545 CREEK DR, MORRIS, IL 60450-6857
(815) 942-0182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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