Individual
DR. SEEMA Z JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
614 B, BLUE HILL AVE, SUITE B, DORCHESTER, MA 02121
(617) 287-0007
(617) 287-0009
Mailing address
614 BLUE HILL AVE STE B, SUITE B, DORCHESTER, MA 02121-3258
(617) 287-0007
(617) 287-0009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21754
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206393
—
MA
Enumeration date
02/27/2007
Last updated
12/13/2011
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