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Individual

DR. JULIA LANE JACOBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
306 FOUNTAINS DR, MADISON, MS 39110-6384
(601) 605-1410
Mailing address
306 FOUNTAINS DR, MADISON, MS 39110-6384
(601) 605-1410

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
011099
AZ
122300000X
Dentist
7481
LA
1223G0001X
General Practice Dentistry
Primary
4482-24
MS

Other

Enumeration date
07/08/2021
Last updated
11/07/2024
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