| NPI | 1316972839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVING JACOBSON Pres. Owner 215-676-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA ds-018061-l) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |