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1790893956
BRET H JACOBSON
FEDERAL WAY, WA
NPI
1790893956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00008218)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
-- BRET H JACOBSON dds
1718 S 288TH ST
FEDERAL WAY, WA 98003-2981
Phone number: 253-839-4111
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Mailing Address
-- BRET H JACOBSON dds
1718 S 288TH ST
FEDERAL WAY, WA 98003-2981
Phone number: 253-839-4111
Copy
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