Individual
JILL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
200 GIRARD ST, SUITE# 2016, GAITHERSBURG, MD 20877-3466
(240) 720-0510
(240) 631-2280
Mailing address
8630 FENTON ST, SUITE 1204, SILVER SPRING, MD 20910-3806
(301) 340-7525
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6810
MD
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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