DR. Michael Lynn Jacobsen, DDS

NPI #1053335927 in Wichita, Kansas

Provider Information

NPI Number: 1053335927
Entity Type: Individual
Name: DR. Michael Lynn Jacobsen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1120 S CLIFTON AVE
City: Wichita
State: Kansas
ZIP Code: 67218-2913
Phone: (316) 687-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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