Individual
JACOB GREGORY YETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S93
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
ME119107
FL
Other
Enumeration date
06/02/2008
Last updated
12/11/2024
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