NPI | 1639189640 |
---|---|
Doing Business As | DR JACQUELINE JACOBSON DMD |
Entity Type | Organization |
Authorized Contact | JACQUELINE Y JACOBSON President 508-787-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 18875) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-08-22 |