Individual
JACOB C. DAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
W172N9723 DIVISION RD, SUITE B, GERMANTOWN, WI 53022-4603
(262) 255-1550
Mailing address
N99W14692 TWIN MEADOWS DR, GERMANTOWN, WI 53022-6612
(414) 418-3786
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5821-015
WI
Other
Enumeration date
12/26/2007
Last updated
02/25/2011
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