Jacob Samuel, DMD

NPI #1982263646 in Chicago, Illinois

Provider Information

NPI Number: 1982263646
Entity Type: Individual
Name: Jacob Samuel, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 6, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 1017 W MADISON ST
City: Chicago
State: Illinois
ZIP Code: 60607-2007
Phone: (312) 759-1120

Specialties & Taxonomy Codes

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

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