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Organization
LEENA JACOB PROFESSIONAL CORPORATION
Active
Organization
LEENA JACOB PROFESSIONAL CORPORATION
Active
Other names
Kids Dental Kare
Organization subpart
No
Provider details
NPI number
Authorized official
LEENA JACOB (PRESIDENT)
(562) 529-8526
Entity
Organization
Contact information
Practice address
14101 PARAMOUNT BLVD, PARAMOUNT, CA 90723-2607
(562) 529-8526
Mailing address
14101 PARAMOUNT BLVD, PARAMOUNT, CA 90723-2607
(562) 529-8526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G89849-02
CA
Other
Enumeration date
11/15/2006
Last updated
07/10/2008
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