Search › Massachusetts › 1223G0001X
Mary Jacob, DMD
NPI 1124537667 · on the registry since 2017 · sole proprietor
Practice
- Address
- 334 Broadway
Revere, MA 02151 - Phone
- (178) 162-9624
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts