Organization
BRIAN J JACOBSEN DMD PC
Active
Other names
Jacobsen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JAMES JACOBSEN D.M.D. (OWNER)
(509) 754-3262
Entity
Organization
Contact information
Practice address
103 1ST AVE SW, EPHRATA, WA 98823-1842
(509) 754-3262
(509) 754-4975
Mailing address
103 1ST AVE SW, EPHRATA, WA 98823-1842
(509) 754-3262
(509) 754-4975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60128176
WA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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