DR. Jacob John, DDS

NPI #1235385055 in Liberty, New York

Provider Information

NPI Number: 1235385055
Entity Type: Individual
Name: DR. Jacob John, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 12, 2008
Last Updated: Aug 15, 2008

Practice Location

Address: 37 TRIANGLE RD
City: Liberty
State: New York
ZIP Code: 12754-3371
Phone: (845) 292-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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