DR. Susanna Jacob, D.D.S

NPI #1851775563 in Amenia, New York

Provider Information

NPI Number: 1851775563
Entity Type: Individual
Name: DR. Susanna Jacob, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jul 13, 2015
Last Updated: Feb 5, 2016

Practice Location

Address: 3360 ROUTE 343
City: Amenia
State: New York
ZIP Code: 12501-5619
Phone: (845) 838-7038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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