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1811057623
BRETT DEAN JACOBSON
IDAHO FALLS, ID
NPI
1811057623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-3203)
Enumeration Date
2006-12-11
Last Update Date
2020-08-07
Business Address
Dr. BRETT DEAN JACOBSON DDS
1088 N SKYLINE DR
IDAHO FALLS, ID 83402-1726
Phone number: 208-524-0870
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Mailing Address
Dr. BRETT DEAN JACOBSON DDS
885 PANCHERI DR
IDAHO FALLS, ID 83402-3344
Phone number: 208-524-0870
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