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Organization
PABLO JACOBO DDS INC
Active
Organization
PABLO JACOBO DDS INC
Active
Other names
Gotta Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS JACOBO (MANAGER)
(209) 952-3687
Entity
Organization
Contact information
Practice address
1035 W ROBINHOOD DR, STOCKTON, CA 95207-5621
(209) 952-3687
(209) 952-6267
Mailing address
1035 W ROBINHOOD DR, 200, STOCKTON, CA 95207-5621
(209) 952-3687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38433
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60242
CA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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