Individual
DR. JACK ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4409 PACK SADDLE PASS, AUSTIN, TX 78745-1623
(512) 444-1871
Mailing address
4409 PACK SADDLE PASS, AUSTIN, TX 78745-1623
(512) 444-1871
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09944
TX
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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