Jacobson Dental Corp
Dentist, Orthodontics and Dentofacial Orthopedics in Roseville, CA. Organization (NPI-2).
NPI number1982179776
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1982179776
- Entity type
- Organization (NPI-2)
- Legal business name
- Jacobson Dental Corp
- Organization subpart
- No
- Enumeration date
- Oct 8, 2018
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Children'S Choice Dental Care (Doing Business As)
- Jacobson Dental Corp (Other Name)
Practice location
1565 Eureka RoadSuite 5
Roseville, CA 95661
Phone 916-744-2999 · Fax 844-534-8464
Mailing address
3655 Torrance Blvd Ste 425Torrance, CA 90503-4844
Phone 916-877-7450 · Fax 844-534-8464
Authorized official
Jeffrey Jacobson
Owner
9168777450
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