Individual
DR. THEODORE ERIC JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
450 SUTTER ST, 2600, SAN FRANCISCO, CA 94108-4206
(415) 362-2167
(415) 362-6402
Mailing address
450 SUTTER ST, 2600, SAN FRANCISCO, CA 94108-4206
(415) 362-2167
(415) 362-6402
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
27529
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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