| NPI | 1104975556 |
|---|---|
| Other Name | THOMAS M JACOBY |
| Entity Type | Organization |
| Authorized Contact | THOMAS M JACOBY Owner 978-263-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11120) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-12-26 |