Egill Lars Jacobsen, DDS

NPI #1841360195 in Addison, Illinois

Provider Information

NPI Number: 1841360195
Entity Type: Individual
Name: Egill Lars Jacobsen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: DDS
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 33 S ADDISON RD
Address 2: SUITE 103
City: Addison
State: Illinois
ZIP Code: 60101-3868
Phone: (630) 941-3316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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