NPI 1003088469

Joly Jacob, D.M.D., P.C.

Organisation General Practice Dentistry Philadelphia, PA

Practice location

Address: 443 W Girard Ave, Philadelphia, PA 19123-1454
Phone: (215) 763-7985
Fax: (215) 763-7987

Authorised official

Name: Joly Jacob
Title: Owner / President
Phone: (215) 763-7985

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DS030002L (PA)

Other Dentist providers in Pennsylvania →

Registry record

NPI: 1003088469
Entity type: Organization
NPI issued: 26 Mar 2008
Record last updated: 26 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.