| NPI | 1346843794 |
|---|---|
| Doing Business As | JACOBSON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID O JACOBSON Owner 970-257-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |