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Individual
RESHMA JACOB
Active
Individual
RESHMA JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412577
VA
1223G0001X
General Practice Dentistry
Primary
055895
NY
Other
Enumeration date
08/07/2009
Last updated
07/21/2022
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