Scott Jacks, Dds, INC
NPI #1194928614 in South Gate, California
Provider Information
- NPI Number
- 1194928614
- Entity Type
- Organization
- Organization Name
- Scott Jacks, Dds, INC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jun 11, 2007
- Last Updated
- Sep 16, 2015
Practice Location
- Address
- 4354 TWEEDY BLVD
- City
- South Gate
- State
- California
- ZIP Code
- 90280-6237
- Phone
- (323) 564-2444
Authorized Official
- Name
- DR. JERRY DAVID MINSKY, DDS
- Title
- OWNER
- Phone
- (323) 564-2444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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