Individual
ANTHONY JAMES JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1221 HARWOOD DR S, FARGO, ND 58104-4604
(701) 235-6622
Mailing address
6183 58TH ST S, FARGO, ND 58104-5745
(701) 540-3080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2464
ND
Other
Enumeration date
06/15/2022
Last updated
12/12/2022
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