Individual provider · Type 1 NPI

Jack Ross Acheatel

General Practice Dentistry · Northridge, CA

NPI number 1194027698 Active

About NPI 1194027698

Jack Ross Acheatel's National Provider Identifier is 1194027698, issued on Dec 3, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Northridge, CA. The record was last updated on Dec 3, 2010.