Organization
IRVING W. JACOBSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING JACOBSON DMD (PRES. OWNER)
(215) 676-2311
Entity
Organization
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
07/12/2006
Last updated
08/22/2020
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