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Individual
JACOB SYLVESTER
Active
Individual
JACOB SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60610
KS
1223G0001X
General Practice Dentistry
2006024257
MO
Other
Enumeration date
07/24/2007
Last updated
01/07/2009
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