Organization
ALLEN JACOBSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN JACOBSON DDS, MDS (CEO)
(818) 687-8778
Entity
Organization
Contact information
Practice address
11005 FIRESTONE BLVD STE 106, NORWALK, CA 90650-2224
(818) 687-8778
Mailing address
15725 MORRISON ST, ENCINO, CA 91436-1543
(818) 687-8778
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58210
CA
Other
Enumeration date
04/21/2010
Last updated
10/13/2011
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