Individual
JACOB FARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1391 COMMERCIAL WAY, SPRING HILL, FL 34606-4521
(352) 597-4977
Mailing address
12948 SERONERA VALLEY CT, SPRING HILL, FL 34610-7667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10000437
MA
1223G0001X
General Practice Dentistry
Primary
DN31445
FL
Other
Enumeration date
03/10/2023
Last updated
07/27/2026
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