Organization
JACOBSON DENTAL CORP
Active
Organization
JACOBSON DENTAL CORP
Active
Other names
Children's Choice Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KUSHBOO KUMAR (CREDENTIALING SPECIALIST)
(916) 877-7450
Entity
Organization
Contact information
Practice address
3805 MISSION AVE STE A, OCEANSIDE, CA 92058-1873
(760) 387-1600
(844) 534-8464
Mailing address
1420 ROCKY RIDGE DR STE 320, ROSEVILLE, CA 95661-2835
(916) 877-7450
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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