Individual
BRAD G JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
491 ALLENDALE RD, SUITE 306, KING OF PRUSSIA, PA 19406-1426
(610) 265-4142
(610) 265-0926
Mailing address
491 ALLENDALE RD, SUITE 306, KING OF PRUSSIA, PA 19406-1426
(610) 265-4142
(610) 265-0926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
022564
PA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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