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Organization
NATHANIEL JACOB DDS PLLC
Active
Organization
NATHANIEL JACOB DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL JACOB D.D.S. (OWNER)
(516) 640-6892
Entity
Organization
Contact information
Practice address
100 WASHINGTON ST, SUITE LB1, HEMPSTEAD, NY 11550-3147
(516) 483-8383
(516) 483-1116
Mailing address
100 WASHINGTON ST, SUITE LB1, HEMPSTEAD, NY 11550-3147
(516) 483-8383
(516) 483-1116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057405
NY
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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