Peter W Jacobsen DDS Pllc
NPI #1053480988 in Maple Valley, Washington
Provider Information
- NPI Number
- 1053480988
- Entity Type
- Organization
- Organization Name
- Peter W Jacobsen DDS Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Aug 1, 2008
Practice Location
- Address
- 27016 MAPLE VALLEY BLK DIAMOND RD SE
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038
- Phone
- (425) 413-8525
Authorized Official
- Name
- JULIE S CIELO
- Title
- MANAGER
- Phone
- (425) 413-8525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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