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Individual

DR. JACOB ROBERT VARBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4700
(618) 474-7000
Mailing address
3200 MISSION RD, ALTON, IL 62002-5517
(618) 550-5903

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019034470
IL

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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