DR. Jacob Jennings, DDS

NPI #1346644671 in Gallup, New Mexico

Provider Information

NPI Number: 1346644671
Entity Type: Individual
Name: DR. Jacob Jennings, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 1601 S SECOND ST
City: Gallup
State: New Mexico
ZIP Code: 87301-5816
Phone: (505) 722-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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