| NPI | 1477045110 |
|---|---|
| Other Name | JACOBSON |
| Doing Business As | PREMIER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY JACOBSON Owner 916-877-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-03-06 |