institution
Robert B Jacob, Dds, Inc
Dental Clinic/Center in San Diego, California
NPI 1992175699

Robert B Jacob, Dds, Inc is a Dental Clinic/Center based in San Diego, CA and is specialized in Dental. Robert B Jacob, Dds, Inc practices in San Diego, CA. The NPI Number for Robert B Jacob, Dds, Inc is 1992175699 and holds a License No. B25912 (California).

The current practice location address for Robert B Jacob, Dds, Inc is 4617 Ruffner St Ste 200, San Diego, CA and can be reached out via phone at 858-268-1006 and via fax at 858-268-5097.

Location: 4617 Ruffner St Ste 200, San Diego, CA, 92111-2284
institution
Provider Profile Details
NPI Number
1992175699
Provider Name
Robert B Jacob, Dds, Inc
Credential
Provider Entity Type
Organization
Address
4617 Ruffner St Ste 200, San Diego, CA, 92111-2284
Phone Number
858-268-1006
Fax Number
858-268-5097
Provider Enumeration Date
10/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B25912-01 05 CA
institution
Provider Business Practice Location Address Details
Address
4617 Ruffner St Ste 200
City
State
Zip
92111-2284
Phone Number
858-268-1006
Fax Number
858-268-5097
person
Provider Business Mailing Address Details
Address
4617 Ruffner St Ste 200
City
State
Zip
92111-2284
Phone Number
858-268-1006
Fax Number
858-268-5097
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
B25912 (California)
Definition
Definition to come...
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