Kenneth Jacobs DDS
NPI #1134173552 in Beverly Hills, California
Provider Information
- NPI Number
- 1134173552
- Entity Type
- Organization
- Organization Name
- Kenneth Jacobs DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8641 WILSHIRE BLVD
- Address 2
- 315
- City
- Beverly Hills
- State
- California
- ZIP Code
- 90211-2900
- Phone
- (310) 657-0411
Authorized Official
- Name
- DR. KENNETH JOSEPH JACOBS, DDS
- Title
- OWNER DENTIST
- Phone
- (310) 657-0411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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