Individual
DR. ALLEN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MDS
Contact information
Practice address
11005 FIRESTONE BLVD, NORWALK, CA 90650-2224
(562) 863-8888
Mailing address
11005 FIRESTONE BLVD, NORWALK, CA 90650-2224
(562) 863-8888
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58210
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2008
Last updated
10/13/2011
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