Individual
DR. JOSEPH EDWARD JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3157 HARRISON AVE, CINCINNATI, OH 45211-5642
(513) 661-8005
(513) 661-8105
Mailing address
3157 HARRISON AVE, CINCINNATI, OH 45211-5642
(513) 661-8005
(513) 661-8105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016220
OH
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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