JACOB JEFFERY WORMS

PEORIA, IL
NPI1639913619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  019035195)
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
JACOB JEFFERY WORMS DMD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
Mailing Address
JACOB JEFFERY WORMS DMD
726 E MARIETTA AVE
PEORIA HEIGHTS, IL 61616-6222
Phone number: 309-713-6951
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