Individual
JACOB MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10887 N MILITARY TRL, SUITE 1, PALM BEACH GARDENS, FL 33410-6528
(561) 622-3339
Mailing address
10887 N MILITARY TRL, SUITE 1, PALM BEACH GARDENS, FL 33410-6528
(734) 272-6606
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21545
FL
Other
Enumeration date
04/23/2012
Last updated
12/02/2015
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