Individual
DR. LUKE J JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10603 N HAYDEN RD, H-113, SCOTTSDALE, AZ 85260-5504
(480) 284-6324
(480) 284-6609
Mailing address
10603 N HAYDEN RD, H-113, SCOTTSDALE, AZ 85260-5504
(480) 284-6324
(480) 284-6609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8007
AZ
Other
Enumeration date
06/16/2010
Last updated
05/27/2014
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