Brian J Jacobsen Dmd PC

NPI #1942758180 in Ephrata, Washington

Provider Information

NPI Number: 1942758180
Entity Type: Organization
Organization Name: Brian J Jacobsen Dmd PC
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2016
Last Updated: Sep 16, 2016

Practice Location

Address: 103 1ST AVE SW
City: Ephrata
State: Washington
ZIP Code: 98823-1842
Phone: (509) 754-3262

Authorized Official

Name: DR. BRIAN JAMES JACOBSEN, D.M.D.
Title: OWNER
Phone: (509) 754-3262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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