Blain Jacobson, Dmd, a Professional Dental Corporation
NPI #1487897831 in Granite Bay, California
Provider Information
- NPI Number
- 1487897831
- Entity Type
- Organization
- Organization Name
- Blain Jacobson, Dmd, a Professional Dental Corporation
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Apr 15, 2009
- Last Updated
- Apr 15, 2009
Practice Location
- Address
- 6910 DOUGLAS BLVD STE A
- City
- Granite Bay
- State
- California
- ZIP Code
- 95746-6276
- Phone
- (916) 722-4353
Authorized Official
- Name
- DR. BLAIN JACOBSON
- Title
- PRESIDENT
- Phone
- (916) 772-4353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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