BRIAN BERNARD JACOBUS

PORT ST LUCIE, FL
NPI1134143340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: FL  DN10314)
Enumeration Date2006-07-27
Last Update Date2007-12-19
Business Address
DR. BRIAN BERNARD JACOBUS DDS, MS, PA
1100 SW SAINT LUCIE WEST BLVD STE 207
PORT ST LUCIE, FL 34986-1735
Phone number: 772-340-0023
Mailing Address
DR. BRIAN BERNARD JACOBUS DDS, MS, PA
1100 SW SAINT LUCIE WEST BLVD STE 207
PORT ST LUCIE, FL 34986-1735
Phone number: 772-340-0023
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