Individual
DR. CHRISTOPHER L JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5800 STANFORD RANCH RD STE 510, ROCKLIN, CA 95765-4386
(916) 900-0246
(916) 970-0148
Mailing address
1426 CHEETAH ST, ROCKLIN, CA 95765-5737
(801) 361-3480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10812349-9922
UT
1223G0001X
General Practice Dentistry
Primary
104820
CA
Other
Enumeration date
05/18/2018
Last updated
06/20/2022
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