DR. Mack Jacob, DDS

NPI #1194845784 in Berkeley, California

Provider Information

NPI Number: 1194845784
Entity Type: Individual
Name: DR. Mack Jacob, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2012 PRINCE ST
City: Berkeley
State: California
ZIP Code: 94703-2519
Phone: (510) 843-8568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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