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1235292046
CHARLES BRYAN JAKOBSEN
PHOENIX, AZ
NPI
1235292046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 6266)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Dr. CHARLES BRYAN JAKOBSEN DDS
4130 N 108TH AVE SUITE 103-104
PHOENIX, AZ 85037-5774
Phone number: 623-772-9600
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Mailing Address
Dr. CHARLES BRYAN JAKOBSEN DDS
4044 W ALEX LOOP
GLENDALE, AZ 85310-2444
Phone number: 623-209-4780
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