Most Relevant Information
Provider Data
| NPI Number: | 1003517640 |
| Provider Name: | JACOB FARES |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 10000437 |
Most Important Dates
| Enumeration Date: | 03/10/2023 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
700 BOSTON RD
BILLERICA
MA
018215316
Practice Location Phone/Fax
| Phone: | 9783621970 |
| Fax: |
Provider Mailing Location
12948 SERONERA VALLEY CT
SPRING HILL
FL
346107667
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |