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Organization
ORCHID FAMILY DENTAL
Active
Organization
ORCHID FAMILY DENTAL
Active
Other names
Tiffany Jacob DDS PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY TRESA JACOB DDS (PRESIDENT)
(972) 424-3555
Entity
Organization
Contact information
Practice address
3555 MURPHY RD, SUITE 103, RICHARDSON, TX 75082-5215
(972) 424-3555
Mailing address
3555 MURPHY RD, SUITE 103, RICHARDSON, TX 75082-5215
(972) 424-3555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24547
TX
Other
Enumeration date
12/29/2014
Last updated
11/01/2016
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