Organization
ABY JACOB CHACKO, D.M.D., P.A.
Active
Other names
PREMIER DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABY A JACOB D.M.D. (DIRECTOR)
(972) 530-3644
Entity
Organization
Contact information
Practice address
6504 HIGHWAY 78, SUITE 146, SACHSE, TX 75048-3259
(972) 530-3644
(972) 530-3655
Mailing address
1417 PARKWOOD DR, CARROLLTON, TX 75007-6037
(972) 530-3644
(972) 530-3655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TX
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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