Lisa J Jacobs, RDH

NPI #1316209232 in Ellsworth, Maine

Provider Information

NPI Number: 1316209232
Entity Type: Individual
Name: Lisa J Jacobs, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 15, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 52 CHRISTIAN RIDGE RD
City: Ellsworth
State: Maine
ZIP Code: 04605
Phone: (207) 667-0293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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