Copper Creek LLC
NPI #1104319862 in Ozark, Missouri
Provider Information
- NPI Number
- 1104319862
- Entity Type
- Organization
- Organization Name
- Copper Creek LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Jun 7, 2018
Practice Location
Authorized Official
- Name
- DR. JONATHAN W JACOBY, DDS
- Title
- DENTIST
- Phone
- (816) 863-7096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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