Evelinda D Jacob, DDS

NPI #1033358593 in Granada Hills, California

Provider Information

NPI Number: 1033358593
Entity Type: Individual
Name: Evelinda D Jacob, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 6, 2009
Last Updated: Feb 6, 2009

Practice Location

Address: 17100 MANDARIN CT
City: Granada Hills
State: California
ZIP Code: 91344-2308
Phone: (818) 832-7002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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