Individual
DR. IRVING WARREN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1916 WELSH RD, PHILADELPHIA, PA 19115-4655
(215) 676-2311
(215) 676-7193
Mailing address
1916 WELSH RD, PHILADELPHIA, PA 19115-4655
(215) 676-2311
(215) 676-7193
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS-018061-L
PA
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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