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Individual

LORIN ERIC JACKREL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2150 S DOBSON RD, SUITE 2, MESA, AZ 85202-6487
(480) 897-2888
(480) 897-0678
Mailing address
2150 S DOBSON RD, SUITE 2, MESA, AZ 85202-6487
(480) 897-2888
(480) 897-0678

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4477
AZ

Other

Enumeration date
06/25/2006
Last updated
07/08/2007
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