institution
Gary B Jacobsen Dds, A Professional Dental Corporation
Dental Clinic/Center in Arcadia, California
NPI 1265841415

Gary B Jacobsen Dds, A Professional Dental Corporation is a Dental Clinic/Center based in Arcadia, CA and is specialized in Dental. Gary B Jacobsen Dds, A Professional Dental Corporation practices in Arcadia, CA. The NPI Number for Gary B Jacobsen Dds, A Professional Dental Corporation is 1265841415 and holds a License No. 26077 (California).

The current practice location address for Gary B Jacobsen Dds, A Professional Dental Corporation is 301 W Huntington Dr, Arcadia, CA and can be reached out via phone at 626-445-8048 and via fax at 626-445-8128.

Location: 301 W Huntington Dr, Arcadia, CA, 91007-3462
institution
Provider Profile Details
NPI Number
1265841415
Provider Name
Gary B Jacobsen Dds, A Professional Dental Corporation
Credential
Provider Entity Type
Organization
Address
301 W Huntington Dr, Arcadia, CA, 91007-3462
Phone Number
626-445-8048
Fax Number
626-445-8128
Provider Enumeration Date
08/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295885382 01 CA INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
301 W Huntington Dr
City
State
Zip
91007-3462
Phone Number
626-445-8048
Fax Number
626-445-8128
person
Provider Business Mailing Address Details
Address
301 W Huntington Dr
City
State
Zip
91007-3462
Phone Number
626-445-8048
Fax Number
626-445-8128
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
26077 (California)
Definition
Definition to come...
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