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Organization
JACOBSON DENTAL CORP
Active
Organization
JACOBSON DENTAL CORP
Active
Other names
Jacobson Dental Corp, Children's Choice Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JACOBSON DMD (OWNER)
(916) 877-7450
Entity
Organization
Contact information
Practice address
23897 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553-3023
(951) 968-5437
(844) 534-8464
Mailing address
3655 TORRANCE BLVD STE 425, TORRANCE, CA 90503-4844
(916) 877-7450
(844) 534-8464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/08/2021
Last updated
03/06/2024
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