Charles B Jakobsen

NPI 1154728160 - Dentist - 122300000X

NPI Details
NPI 1154728160
Enumeration Date 11/20/2014
Last Updated 11/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GINNY L GINNY
Position OFFICE MANAGER
Phone (602) 268-7076
Fax
Practice Location
7617 S CENTRAL AVE
PHOENIX AZ, 85042-6513, US
Phone (602) 268-7076
Fax
Business Location
7617 S CENTRAL AVE
PHOENIX AZ, 85042, US
Phone (602) 268-7076
Fax
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 6266
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According to our database, Charles B Jakobsen NPI is 1154728160, taxonomy code is 122300000X and license number is 6266, license state is located at Arizona. Charles B Jakobsen physically located at 7617 S Central Ave, Phoenix AZ, 85042-6513. NPI Number 1033115704 has the healthcare provider type.

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1154728160 NPI number is provided on an as is basis without warranty of any kind. 1154728160 is maintained by the National Plan & Provider Enumeration System. The contents of Charles B Jakobsen are for informational purposes only.