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1619012218
RICHARD A JACOBS
NEW HAVEN, CT
NPI
1619012218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 4438)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Dr. RICHARD A JACOBS dmd
1423 CHAPEL ST
NEW HAVEN, CT 06511-4411
Phone number: 203-562-0234
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Mailing Address
Dr. RICHARD A JACOBS dmd
1423 CHAPEL ST
NEW HAVEN, CT 06511-4411
Phone number: 203-562-0234
Copy
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