DR. Mary Jacob, DMD
NPI #1124537667 in Revere, Massachusetts
Provider Information
- NPI Number
- 1124537667
- Entity Type
- Individual
- Name
- DR. Mary Jacob, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Sep 27, 2017
- Last Updated
- Sep 27, 2017
Practice Location
- Address
- 334 BROADWAY
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-5016
- Phone
- (178) 162-9624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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