Individual
DR. DALE TRAVERS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12225 GREENVILLE AVE, SUITE 122, DALLAS, TX 75243-2081
(972) 235-7060
(972) 235-1588
Mailing address
12225 GREENVILLE AVE, SUITE 122, DALLAS, TX 75243-2081
(972) 235-7060
(972) 235-1588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13352
TX
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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