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1922746858
JACOB MOORHEAD
MESA, AZ
NPI
1922746858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D011356)
Enumeration Date
2022-05-20
Last Update Date
2023-05-17
Business Address
JACOB MOORHEAD DMD
1130 S COUNTRY CLUB DR STE 101
MESA, AZ 85210-4639
Phone number: 480-461-9866
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Mailing Address
JACOB MOORHEAD DMD
1130 S COUNTRY CLUB DR STE 101
MESA, AZ 85210-4639
Phone number: 480-461-9866
Copy
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