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Organization
JACOBSON DENTAL CORP
Active
Organization
JACOBSON DENTAL CORP
Active
Other names
Children's Choice Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KUSHBOO KUMAR (AM)
(916) 877-7450
Entity
Organization
Contact information
Practice address
1230 CHURN CREEK RD STE 100, REDDING, CA 96003-4033
(530) 738-2090
(844) 534-8464
Mailing address
325 S HIGLEY RD STE 130, GILBERT, AZ 85296-4703
(916) 877-7450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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