Individual
DR. MURRAY KENDALL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3701 S CLARKSON ST, SUITE 300, ENGLEWOOD, CO 80113-3958
(303) 806-8600
(303) 806-8629
Mailing address
1213 COFFEE RD, SUITE D, MODESTO, CA 95355
(209) 522-5238
(209) 522-4703
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
29307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B2930701
—
CA
Enumeration date
09/27/2006
Last updated
03/20/2017
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