DR. Mark S Jacobs, DDS
NPI #1346311560 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1346311560
- Entity Type
- Individual
- Name
- DR. Mark S Jacobs, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 802 N BROADWAY
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-3726
- Phone
- (708) 345-7638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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