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1568453108
MATTHEW JACOBSEN
SOUTH PORTLAND, ME
NPI
1568453108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: ME 4167)
Enumeration Date
2005-11-02
Last Update Date
2015-07-02
Business Address
Dr. MATTHEW JACOBSEN DMD, MD
20 LONG CREEK DR
SOUTH PORTLAND, ME 04106-2425
Phone number: 207-772-3027
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Mailing Address
Dr. MATTHEW JACOBSEN DMD, MD
20 LONG CREEK DRIVE ORAL SURGERY ASSOCIATES PA
SOUTH PORTLAND, ME 04106
Phone number: 207-772-3027
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