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1790247880
JACOB PARKER
NORFOLK, VA
NPI
1790247880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60970005)
Enumeration Date
2019-04-05
Last Update Date
2019-07-17
Business Address
Dr. JACOB PARKER DMD
1647 TAUSSIG BLVD BLDG CD-3
NORFOLK, VA 23511
Phone number: 253-228-0689
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Mailing Address
Dr. JACOB PARKER DMD
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-7550
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