Kezia Anila Jacob, D.M.D.

NPI #1497136550 in Brunswick, Georgia

Provider Information

NPI Number: 1497136550
Entity Type: Individual
Name: Kezia Anila Jacob, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 15, 2015
Last Updated: May 26, 2018

Practice Location

Address: 159 ALTAMA CONNECTOR
City: Brunswick
State: Georgia
ZIP Code: 31525
Phone: (912) 264-8408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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