Individual
DR. JACOB WILLIAM SKINNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5121 EHRLICH RD, STE 105, TAMPA, FL 33624-2015
(813) 960-2232
Mailing address
13312 TIGER LILLY LN, TAMPA, FL 33625-3770
(813) 220-3372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 16608
FL
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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