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Individual

DR. DAVID ORLAN JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2525 N 8TH ST, STE 107, GRAND JUNCTION, CO 81501
(970) 257-7474
(719) 257-7481
Mailing address
2525 N 8TH ST, STE 107, GRAND JUNCTION, CO 81501
(970) 257-7474
(719) 257-7481

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8802
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1678469
UNITED CONCORDIA
05
94536066
CO
Enumeration date
07/21/2006
Last updated
07/08/2007
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