Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FAKHRY AZER JACOUB, DDS
Active Sole ProprietorDR. FAKHRY AZER JACOUB, DDS is a General Dentistry healthcare provider located in LOS ANGELES, California. NPI 1568550036 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LOS ANGELES, CA
Registration Details
- NPI Number
- 1568550036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.858182970928 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33105 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12012 W WASHINGTON BLVDLOS ANGELES, CA, 900665893Browse CA providers · Browse ZIP 90066
- Phone
- 3103907981
- Fax
- 3103907982
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARCELO GENESTON MONCADA | DDS | 1215935564 |
| DR. DANIEL HIDEO TAMURA | DDS | 1689673733 |
| DR. RANDALL ARTHUR GORDON | D.M.D. | 1912907551 |
| DR. KATHY LYNN BASMAJIAN | DDS | 1912992850 |
| DR. LEONOR CAPISTRANO ESLAO | DMD | 1336137520 |
| DR. OMID VATAN | D.D.S. | 1740278662 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.