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1164952032
JACOB JOSE KURUVILLA
DALLAS, TX
NPI
1164952032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 33117)
Additional Taxonomies
122300000X Dentist
(Licence: PA DS041245)
Enumeration Date
2017-06-14
Last Update Date
2022-07-21
Business Address
Dr. JACOB JOSE KURUVILLA DMD
1110 S CESAR CHAVEZ BLVD APT 3050
DALLAS, TX 75201-6089
Phone number: 631-742-9840
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Mailing Address
Dr. JACOB JOSE KURUVILLA DMD
11613 N CENTRAL EXPY STE 111A
DALLAS, TX 75243-3808
Phone number: 631-742-9840
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