Eric E Jacobsen DDS PC

NPI #1225678139 in Oregon City, Oregon

Provider Information

NPI Number
1225678139
Entity Type
Organization
Organization Name
Eric E Jacobsen DDS PC
Subpart
Yes (part of a larger organization)
Parent Organization
ERIC E JACOBSEN DDS PC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jan 8, 2020
Last Updated
Jan 8, 2020

Practice Location

Address
19502 MOLALLA AVE STE 109
State
Oregon
ZIP Code
97045-4513
Phone
(503) 656-0405

Authorized Official

Name
DR. ERIC JACOBSEN, DDS
Title
OWNER
Phone
(443) 562-5564

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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