Organization
DOWNTOWN DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY JACOBS D.D.S. (OWNER/PRESIDENT)
(830) 426-2444
Entity
Organization
Contact information
Practice address
1104 18TH ST, HONDO, TX 78861-1833
(830) 426-2444
Mailing address
1104 18TH ST, HONDO, TX 78861-1833
(830) 426-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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