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Individual

DR. JOE DAVID JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.,M.S.D.

Contact information

Practice address
10440 N CENTRAL EXPY, STE 120 LOCK BOX 200, DALLAS, TX 75231-2221
(214) 361-4528
(214) 361-4560
Mailing address
10440 N CENTRAL EXPY, STE 120 LOCK BOX 200, DALLAS, TX 75231-2221
(214) 361-4528
(214) 361-4560

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10968
TX

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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