Individual
DR. BRIAN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
31550 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 522-6770
Mailing address
31550 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 522-6770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13163
MI
Other
Enumeration date
05/17/2007
Last updated
11/10/2014
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