| NPI | 1225678139 |
|---|---|
| Doing Business As | JACOBSEN PEDIATRIC DENTISTRY |
| Doing Business As | SUNNYSIDE DENTISTRY FOR CHILDREN |
| Entity Type | Organization |
| Authorized Contact | ERIC JACOBSEN Owner 443-562-5564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |