Organization
MICHAEL L. JACOBSEN, D.D.S., M.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JACOBSEN (PRESIDENT)
(760) 951-7752
Entity
Organization
Contact information
Practice address
12587 HESPERIA RD STE A, VICTORVILLE, CA 92395-5847
(760) 951-7752
(760) 951-5446
Mailing address
12587 HESPERIA RD STE A, VICTORVILLE, CA 92395-5847
(760) 951-7752
(760) 951-5446
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30185
CA
Other
Enumeration date
07/29/2006
Last updated
08/22/2020
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