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Organization
KENNETH JACOBS DDS
Active
Organization
KENNETH JACOBS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOSEPH JACOBS DDS (OWNER DENTIST)
(310) 657-0411
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, 315, BEVERLY HILLS, CA 90211-2900
(310) 657-0411
(310) 657-4037
Mailing address
8641 WILSHIRE BLVD, 315, BEVERLY HILLS, CA 90211-2900
(310) 657-0411
(310) 657-4037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34349
CA
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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