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1568550036
FAKHRY AZER JACOUB
LOS ANGELES, CA
NPI
1568550036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 33105)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Dr. FAKHRY AZER JACOUB dds
12012 W WASHINGTON BLVD
LOS ANGELES, CA 90066-5893
Phone number: 310-390-7981
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Mailing Address
Dr. FAKHRY AZER JACOUB dds
12012 W WASHINGTON BLVD
LOS ANGELES, CA 90066-5893
Phone number: 310-390-7981
Copy
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