Organization
ERIC E JACOBSEN DDS PC
Active
Parent organization
ERIC E JACOBSEN DDS PC
Other names
Jacobsen Pediatric Dentistry, Sunnyside Dentistry for Children
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIC E JACOBSEN DDS PC
Authorized official
DR. ERIC JACOBSEN DDS (OWNER)
(443) 562-5564
Entity
Organization
Contact information
Practice address
19502 MOLALLA AVE STE 109, OREGON CITY, OR 97045-4513
(503) 656-0405
(503) 344-4295
Mailing address
19502 MOLALLA AVE STE 109, OREGON CITY, OR 97045-4513
(503) 656-0405
(503) 344-4295
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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