DR. Daniel R Jacobsen, D.M.D.
NPI #1952688293 in Bloomington, Illinois
Provider Information
- NPI Number
- 1952688293
- Entity Type
- Individual
- Name
- DR. Daniel R Jacobsen, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Nov 15, 2011
- Last Updated
- Nov 15, 2011
Practice Location
- Address
- 3220 GERIG DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6394
- Phone
- (309) 662-7722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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