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1194845784
MACK JACOB
BERKELEY, CA
NPI
1194845784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 38432)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Dr. MACK JACOB DDS
2012 PRINCE ST
BERKELEY, CA 94703-2519
Phone number: 510-843-8568
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Mailing Address
Dr. MACK JACOB DDS
2012 PRINCE ST
BERKELEY, CA 94703-2519
Phone number: 510-843-8568
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