Organization
JACOBSON DENTAL CORP
Active
Other names
Jacobson Dental Corp, Children's Choice Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JACOBSON DMD (OWNER)
(916) 877-7450
Entity
Organization
Contact information
Practice address
1139 E. KETTLEMAN LANE, SUITE 101, LODI, CA 95240
(209) 642-8990
(844) 534-8464
Mailing address
3655 TORRANCE BLVD STE 425, TORRANCE, CA 90503-4844
(916) 877-7450
(844) 534-8464
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
03/06/2024
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