DR. Jacob Lee Barthold, D.D.S.

NPI #1457613028 in Redwood Falls, Minnesota

Provider Information

NPI Number: 1457613028
Entity Type: Individual
Name: DR. Jacob Lee Barthold, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 105 E BRIDGE ST
City: Redwood Falls
State: Minnesota
ZIP Code: 56283-2607
Phone: (763) 746-6567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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