| Allen Jacobson, Dds, Pc | |
|
11005 Firestone Blvd Ste 106 Norwalk CA 90650-2224 | |
| (818) 687-8778 | |
| Not Available |
| Full Name | Allen Jacobson, Dds, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11005 Firestone Blvd Ste 106, Norwalk, California |
| Authorized Official Name and Position | Allen Jacobson (CEO) |
| Authorized Official Contact | 8186878778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Jacobson, Dds, Pc 15725 Morrison St Encino CA 91436-1543 Ph: (818) 687-8778 | Allen Jacobson, Dds, Pc 11005 Firestone Blvd Ste 106 Norwalk CA 90650-2224 Ph: (818) 687-8778 |
| NPI Number | 1972820678 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972820678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 58210 (California) | Primary |
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