Individual
DR. BRANDON THOMAS JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
885 PANCHERI DR, IDAHO FALLS, ID 83402-3344
(208) 524-0870
Mailing address
885 PANCHERI DR, IDAHO FALLS, ID 83402-3344
(208) 524-0870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9671454
ID
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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