Individual
DR. JACOB RICHARD OROZCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
6404 ROOSEVELT BLVD, 2ND FLOOR, PHILADELPHIA, PA 19149-2943
(215) 743-4700
(215) 743-3706
Mailing address
2021 GREEN ST, APT 2, PHILADELPHIA, PA 19130-3457
(267) 303-9494
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DI02430800
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS037207
PA
Other
Enumeration date
11/26/2009
Last updated
04/04/2013
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