Individual
CORI JEAN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
804 N EUCLID AVE, PIERRE, SD 57501-1719
(605) 224-7345
(605) 224-0909
Mailing address
804 N EUCLID AVE, PIERRE, SD 57501-1719
(605) 224-7345
(605) 224-0909
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
124Q00000X
SD
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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