Individual
DR. BRIAN JAMES JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
103 1ST AVE SW, EPHRATA, WA 98823-2197
(509) 754-3262
Mailing address
103 1ST AVE SW, EPHRATA, WA 98823-1842
(509) 754-3262
(509) 754-4975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60128176
WA
Other
Enumeration date
11/18/2008
Last updated
02/04/2016
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