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1679973879
JACOB A DENIAKOS
MAXWELL AFB, AL
NPI
1679973879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 6439)
Enumeration Date
2014-08-26
Last Update Date
2015-08-27
Business Address
Dr. JACOB A DENIAKOS D.D.S.
300 S. TWINING STREET, BLDG 760 42D MEDICAL GROUP
MAXWELL AFB, AL 36112
Phone number: 334-953-8607
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Mailing Address
Dr. JACOB A DENIAKOS D.D.S.
300 S. TWINING STREET, BLDG 760 42D MEDICAL GROUP
MAXWELL AFB, AL 36112
Phone number: 334-953-5143
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