DR. Gary Lee Jacobsen, DDS

NPI #1205895166 in Indianola, Iowa

Provider Information

NPI Number: 1205895166
Entity Type: Individual
Name: DR. Gary Lee Jacobsen, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 N B ST
City: Indianola
State: Iowa
ZIP Code: 50125-2429
Phone: (515) 961-8411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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