NPI | 1811385891 |
---|---|
Doing Business As | TIFFANY JACOB DDS PLLC |
Entity Type | Organization |
Authorized Contact | TIFFANY TRESA JACOB President 972-424-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 24547) |
Enumeration Date | 2014-12-29 |
Last Update Date | 2016-11-01 |