Individual
DR. JACOB THEODORE AGATSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 668-4202
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
63444
CA
Other
Enumeration date
06/24/2010
Last updated
06/13/2014
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