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1942202163
JEROME TABACCA
COLUMBUS, OH
NPI
1942202163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: OH OH14335)
Enumeration Date
2005-06-01
Last Update Date
2007-07-08
Business Address
DR. JEROME TABACCA D.D.S.
1707 BETHEL RD
COLUMBUS, OH 43220-1810
Phone number: 614-459-0050
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Mailing Address
DR. JEROME TABACCA D.D.S.
1707 BETHEL RD
COLUMBUS, OH 43220-1810
Phone number: 614-459-0050
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