Jack Ross Acheatel
NPI #1194027698 in Northridge, California
Provider Information
- NPI Number
- 1194027698
- Entity Type
- Individual
- Name
- Jack Ross Acheatel
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 3, 2010
- Last Updated
- Dec 3, 2010
Practice Location
- Address
- 18856 ROSCOE BLVD
- City
- Northridge
- State
- California
- ZIP Code
- 91324
- Phone
- (818) 885-7116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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