Individual
DR. JESSIE PRUETT JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10651 E ST, ATTN: MARIA A. VILLAGOMEZ, CORPUS CHRISTI, TX 78419-5130
(361) 961-4311
(361) 961-2529
Mailing address
10651 E ST, ATTN: MARIA A. VILLAGOMEZ, CORPUS CHRISTI, TX 78419-5130
(361) 961-4311
(361) 961-2529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13193
MO
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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