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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