Organization
SCOTT JACKS, DDS, INC
Active
Other names
CHILDREN'S DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY DAVID MINSKY DDS (OWNER)
(323) 564-2444
Entity
Organization
Contact information
Practice address
4354 TWEEDY BLVD, SOUTH GATE, CA 90280-6237
(323) 564-2444
(323) 249-7565
Mailing address
4354 TWEEDY BLVD, SOUTH GATE, CA 90280-6237
(323) 564-2444
(323) 249-7565
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31668
CA
Other
Enumeration date
06/11/2007
Last updated
09/16/2015
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