Individual
DR. ABY A JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6504 HIGHWAY 78, SUITE 146, SACHSE, TX 75048-3259
(972) 530-3644
(972) 530-3655
Mailing address
1012 W HEBRON PKWY, SUITE 108, CARROLLTON, TX 75010-1122
(972) 939-6500
(972) 939-5300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20704
TX
Other
Enumeration date
04/03/2007
Last updated
07/30/2012
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