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1235331273
BENNETT JACOBY
LIHUE, HI
NPI
1235331273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: HI DT2112)
Enumeration Date
2007-06-01
Last Update Date
2016-11-07
Business Address
Dr. BENNETT JACOBY
2978 HALEKO RD STE A
LIHUE, HI 96766-1379
Phone number: 808-202-2060
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Mailing Address
Dr. BENNETT JACOBY
PO BOX 75407294 STE. A
SIOUX FALLS, SD 57186-1379
Phone number: 808-202-2060
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