DANIEL R JACOBSEN

BLOOMINGTON, IL
NPI1952688293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  019.028635)
Enumeration Date2011-11-15
Last Update Date2011-11-15
Business Address
DR. DANIEL R JACOBSEN D.M.D.
3220 GERIG DR
BLOOMINGTON, IL 61704-6394
Phone number: 309-662-7722
Mailing Address
DR. DANIEL R JACOBSEN D.M.D.
3220 GERIG DR
BLOOMINGTON, IL 61704-6394
Phone number:
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