STACY JACOB

LAKEWOOD, OH
NPI1275150013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  30.026177)
Enumeration Date2020-06-27
Last Update Date2020-06-27
Business Address
STACY JACOB DMD
15711 MADISON AVE STE 104
LAKEWOOD, OH 44107-5655
Phone number: 216-228-7950
Mailing Address
STACY JACOB DMD
15711 MADISON AVE STE 104
LAKEWOOD, OH 44107-5655
Phone number: 216-228-7950
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