JACOB BLOM

DAVIS, CA
NPI1841774668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  103246)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
Dr. JACOB BLOM DDS
4515 FERMI PL STE 106
DAVIS, CA 95618-9411
Phone number: 530-750-1955
Mailing Address
Dr. JACOB BLOM DDS
4515 FERMI PL STE 106
DAVIS, CA 95618-9411
Phone number: 530-750-1955