Individual
DR. JACOB DAVID HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 ARTHUR DR, CHARLESTON AFB, SC 29404-4800
(843) 963-6880
Mailing address
106 ARTHUR DR, CHARLESTON AFB, SC 29404-4800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026109
OH
Other
Enumeration date
04/07/2020
Last updated
05/08/2024
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