DR. JACK SCHRADER, DDS
Dentist - General Practice
Active
Individual
NPI: 1457313579
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | AZ2165 (AZ) |
Frequently Asked Questions
NPI 1457313579 is the National Provider Identifier for DR. JACK SCHRADER, DDS, a Dentist - General Practice provider located in Sierra Vista, AZ. This NPI was enumerated on April 4, 2006.
DR. JACK SCHRADER, DDS practices at 1900 PASEO SAN LUIS, Sierra Vista, AZ 85635.
Quick Facts
- NPI
- 1457313579
- Type
- Individual
- Enumerated
- Apr 4, 2006
- Last Updated
- Jul 8, 2007
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