Individual
JERIN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8373 CULEBRA RD # 102A, SAN ANTONIO, TX 78251-1663
(210) 800-9691
Mailing address
8373 CULEBRA RD # 102A, SAN ANTONIO, TX 78251-1663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32016
TX
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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