Provider Demographics
NPI:1528511847
Name:JACOB, HELDER BALDI (DDS, MSC, PHD)
Entity type:Individual
Prefix:DR
First Name:HELDER
Middle Name:BALDI
Last Name:JACOB
Suffix:
Gender:M
Credentials:DDS, MSC, PHD
Other - Prefix:
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Mailing Address - Street 1:7500 CAMBRIDGE ST
Mailing Address - Street 2:STE 5130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2032
Mailing Address - Country:US
Mailing Address - Phone:713-486-4219
Mailing Address - Fax:713-486-4123
Practice Address - Street 1:7500 CAMBRIDGE ST
Practice Address - Street 2:STE 5130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2032
Practice Address - Country:US
Practice Address - Phone:713-486-4219
Practice Address - Fax:713-486-4123
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX277291223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics