Individual
DR. JOEL DALE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2611 S QUILLAN PL STE 110, KENNEWICK, WA 99338-1899
(509) 585-5437
Mailing address
2611 S QUILLAN PL STE 110, KENNEWICK, WA 99338-1899
(509) 585-5437
(509) 585-5438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61443322
WA
Other
Enumeration date
06/08/2023
Last updated
06/22/2023
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