| Kenneth Jacobs Dds | |
|
8641 Wilshire Blvd 315 Beverly Hills CA 90211-2900 | |
| (310) 657-0411 | |
| (310) 657-4037 |
| Full Name | Kenneth Jacobs Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8641 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Kenneth Joseph Jacobs (OWNER DENTIST) |
| Authorized Official Contact | 3106570411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Jacobs Dds 8641 Wilshire Blvd 315 Beverly Hills CA 90211-2900 Ph: (310) 657-0411 | Kenneth Jacobs Dds 8641 Wilshire Blvd 315 Beverly Hills CA 90211-2900 Ph: (310) 657-0411 |
| NPI Number | 1134173552 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134173552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34349 (California) | Primary |
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