Individual
JACOB HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1008 W PLEASANT ST, PLEASANTVILLE, IA 50225-9546
(515) 848-3691
Mailing address
1008 W PLEASANT ST, PLEASANTVILLE, IA 50225-9546
(515) 848-3691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09116
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/09/2014
Last updated
06/25/2014
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