Individual
DR. JACOB ALEXANDER RENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1509 EMERALD PKWY STE 105, COLLEGE STATION, TX 77845-5502
(979) 696-8681
Mailing address
213 LYNN DR # 201, BRYAN, TX 77801-3322
(806) 206-1339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38895
TX
Other
Enumeration date
08/08/2022
Last updated
09/29/2022
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