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Individual
JACOB CHAE
Active
Individual
JACOB CHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS103582
CA
122300000X
Dentist
DS038948
PA
1223G0001X
General Practice Dentistry
DDS103582
CA
Other
Enumeration date
04/13/2012
Last updated
09/07/2024
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