Organization
JACOBSEN & SHAW, DDS, PLLC
Active
Other names
new32 Aesthetic and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH HEADLEY JACOBSEN DDS (GENERAL DENTIST)
(206) 381-0732
Entity
Organization
Contact information
Practice address
4915 25TH AVE NE, SUITE 107, SEATTLE, WA 98105-5667
(206) 381-0732
(206) 381-0513
Mailing address
4915 25TH AVE NE, SUITE 107, SEATTLE, WA 98105-5667
(206) 381-0732
(206) 381-0513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE40021232
WA
122300000X
Dentist
DE60035233
WA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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