Individual
DR. ERIC EDWIN JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
Mailing address
22320 N 59TH LN, GLENDALE, AZ 85310-4264
(443) 562-5564
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7908
AZ
1223P0221X
Pediatric Dentistry
D9115
OR
Other
Enumeration date
07/07/2008
Last updated
10/15/2009
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