MARY JACOB

REVERE, MA
NPI1124537667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  DN1857754)
Enumeration Date2017-09-27
Last Update Date2017-09-27
Business Address
Dr. MARY JACOB DMD
334 BROADWAY
REVERE, MA 02151-5016
Phone number: 178-162-9624
Mailing Address
Dr. MARY JACOB DMD
99 FLORENCE STREET APT 102
MALDEN, MA 02148
Phone number: 203-548-1113
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