Individual
DR. TERESA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
308 CALLAHAN RD, NORTH KINGSTOWN, RI 02852-7739
(401) 295-9706
(401) 295-0920
Mailing address
PO BOX 312, PASCOAG, RI 02859-0312
(401) 567-0800
(401) 567-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LD00046
RI
Other
Enumeration date
06/26/2009
Last updated
02/20/2015
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