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1780429605
JACOB BASS
AUGUSTA, GA
NPI
1780429605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 10776)
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
JACOB BASS
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 803-341-2626
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Mailing Address
JACOB BASS
912 DUNBARTON DR
NORTH AUGUSTA, SC 29841-3209
Phone number:
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