Individual
DR. BRUCE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1708 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(954) 456-3366
(954) 456-3176
Mailing address
1708 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(954) 456-3366
(954) 456-3176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN5414
FL
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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