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Mack Jacob, DDS
NPI 1194845784 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2012 Prince St
Berkeley, CA 94703 - Phone
- (510) 843-8568
- Fax
- (510) 843-4448
- Organisation at this address
- Mack Jacob, Dds
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 California