Individual
JACOB MILLER ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
930 COUNTY ROAD 2360, MINEOLA, TX 75773-3211
(903) 441-4121
Mailing address
930 COUNTY ROAD 2360, MINEOLA, TX 75773-3211
(903) 441-4121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35696
TX
Other
Enumeration date
09/03/2019
Last updated
03/15/2023
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