SALLY ANN JACOB

TAMPA, FL
NPI1457883944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN23281)
Additional Taxonomies122300000X Dentist
(Licence: MA  1858018)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-03
Last Update Date2022-05-02
Business Address
SALLY ANN JACOB DMD
5101 E BUSCH BLVD STE 13
TAMPA, FL 33617-5380
Phone number: 813-988-1167
Mailing Address
SALLY ANN JACOB DMD
27834 SKY LAKE CIR
WESLEY CHAPEL, FL 33544-7602
Phone number: 774-571-2518