Individual
DR. JACOB CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2305 LULLWATER RD, ALBANY, GA 31707-3180
(229) 883-1306
Mailing address
539 N WESTOVER BLVD APT 326, ALBANY, GA 31707-1959
(919) 762-6203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN016068
GA
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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