JACOB FORTENBERRY

BOSTON, MA
NPI1003657651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  DN10000426)
Enumeration Date2024-06-05
Last Update Date2024-09-24
Business Address
JACOB FORTENBERRY DMD
635 ALBANY ST
BOSTON, MA 02118-3550
Phone number: 601-278-0923
Mailing Address
JACOB FORTENBERRY DMD
15 BEAUVOIR PL
MADISON, MS 39110-8047
Phone number: 601-278-0923
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