Individual
MANJU JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
803 ESTELLE DR, LANCASTER, PA 17601-2130
(717) 898-9099
Mailing address
803 ESTELLE DR, LANCASTER, PA 17601-2130
(717) 898-9099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029965L
PA
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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