Individual
DR. ALVIN CHARLES JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1625 ANDERSON AVE, SUITE 301, FORT LEE, NJ 07024-2748
(201) 944-1331
(201) 585-2041
Mailing address
1625 ANDERSON AVE, SUITE 301, FORT LEE, NJ 07024-2748
(201) 944-1331
(201) 585-2041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D09243
NJ
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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