Individual
DR. JACOB NATHAN KOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21534 GREAT MILLS RD, LEXINGTON PARK, MD 20653-1204
(301) 862-3900
(301) 862-3779
Mailing address
3403 TERRAPIN RD, BALTIMORE, MD 21208-3128
(443) 803-3374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17162
MD
Other
Enumeration date
09/14/2020
Last updated
09/18/2020
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