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Individual

DR. RICHARD A JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1423 CHAPEL ST, NEW HAVEN, CT 06511-4411
(203) 562-0234
(203) 865-2556
Mailing address
1423 CHAPEL ST, NEW HAVEN, CT 06511-4411
(203) 562-0234
(203) 865-2556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4438
CT

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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