Individual
SHARON S JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
25 WESTMINSTER PL, #4, PASSAIC, NJ 07055-3351
(718) 490-8939
Mailing address
25 WESTMINSTER PL, #4, PASSAIC, NJ 07055-3351
(718) 490-8939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02449400
NJ
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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