Individual
DR. JOHANNA M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
127 W 79TH ST, MANHATTAN DENTAL CARE, NEW YORK, NY 10024-6416
(212) 580-4790
Mailing address
424 W END AVE, 8H, NEW YORK, NY 10024-5760
(212) 496-0136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048712
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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