Jacob Caldwell Valid NPI
Individual provider · Dentist · Apo, AE
- NPI
- 1437837689
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 10505 (SC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-07-07
- Last updated
- 2024-07-28
Practice location
Unit 5115
Apo, AE 09461-5115
(011) 441-6385