Individual
JACOBSON MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
40545 US HIGHWAY 19 N STE G, TARPON SPRINGS, FL 34689
(727) 626-2119
Mailing address
1833 OAKDALE LN S, CLEARWATER, FL 33764-6459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 21765
FL
Other
Enumeration date
04/06/2015
Last updated
09/03/2018
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