Individual
JACK YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(484) 884-2315
Mailing address
112 S INN ST, ALLENTOWN, PA 18109-2609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045468
PA
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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