Organization
CHARLES B JAKOBSEN
Active
Other names
Albright Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINNY L WOOD (OFFICE MANAGER)
(602) 268-7076
Entity
Organization
Contact information
Practice address
7617 S CENTRAL AVE, PHOENIX, AZ 85042-6513
(602) 268-7076
Mailing address
7617 S CENTRAL AVE, PHOENIX, AZ 85042
(602) 268-7076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6266
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
878671
—
AZ
Enumeration date
11/20/2014
Last updated
11/20/2014
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