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Individual

JACOB PAULY GRIBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 HERITAGE DR, POTTSTOWN, PA 19464-3233
(610) 326-7880
(610) 323-1520
Mailing address
501 W 14TH ST STE 2W22, WILMINGTON, DE 19801-1013

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS042834
PA

Other

Enumeration date
03/23/2020
Last updated
06/20/2024
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