Lawrence T Jacobs DDS PC
NPI #1710041249 in River Grove, Illinois
Provider Information
- NPI Number
- 1710041249
- Entity Type
- Organization
- Organization Name
- Lawrence T Jacobs DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8235 GRAND AVE
- City
- River Grove
- State
- Illinois
- ZIP Code
- 60171-1539
- Phone
- (708) 453-0250
Authorized Official
- Name
- DR. LAWRENCE T JACOBS, DDS
- Title
- PRESIDENT OWNER
- Phone
- (708) 453-0250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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