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Organization

ABY A JACOB, DMD, PC

Active
Other names
Premier Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABY A JACOB D.M.D. (PRESIDENT)
(972) 939-6500
Entity
Organization

Contact information

Practice address
1012 W HEBRON PKWY, SUITE 108, CARROLLTON, TX 75010-1122
(972) 939-6500
(972) 939-5300
Mailing address
1012 W HEBRON PKWY, SUITE 108, CARROLLTON, TX 75010-1122
(972) 939-6500
(972) 939-5300

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20704
TX
1223G0001X
General Practice Dentistry
20704
TX

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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