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Organization
DOWNTOWN LONG BEACH DENTISTRY, INC
Active
Organization
DOWNTOWN LONG BEACH DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONOR JACOBSON (OWNER)
(714) 845-8890
Entity
Organization
Contact information
Practice address
560 PINE AVE, LONG BEACH, CA 90802-2316
(562) 314-4169
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
02/11/2025
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