Individual
DR. JACOB CAINE DACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4903 E STATE ST, ROCKFORD, IL 61108-2276
(815) 398-2323
Mailing address
5 LA QUINTA CT, LAKE IN THE HILLS, IL 60156-4490
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021.003272
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
08/01/2023
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