| NPI | 1518117498 |
|---|---|
| Doing Business As | JACOBSON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEPHEN E JACOBSON Dentist 248-624-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14257) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 18553) |
| 1223G0001X Dentist, General Practice (Licence: MI 16758) | |
| 1223P0300X Dentist, Periodontics (Licence: MI 18913) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-07-28 |