Jacobi Lazar Ludwig DDS

NPI 1043370414 - Dentist - 1223G0001X

NPI Details
NPI 1043370414
Gender Male
Enumeration Date 12/08/2006
Last Updated 10/07/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1905 PLAZA DR
EAGAN MN, 55122-2883, US
Phone (651) 686-6678
Fax (805) 529-0102
Business Location
217 W LOS ANGELES AVE
MOORPARK CA, 93021-1867, US
Phone (805) 529-0100
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D12085
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According to our database, Dr. Jacobi Lazar Ludwig DDS NPI is 1043370414, taxonomy code is 1223G0001X and license number is D12085, license state is located at Minnesota. Jacobi Lazar Ludwig DDS physically located at 1905 Plaza Dr, Eagan MN, 55122-2883. NPI Number Jacobi Lazar Ludwig DDS has the Individual type.

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1043370414 NPI number is provided on an as is basis without warranty of any kind. 1043370414 is maintained by the National Plan & Provider Enumeration System. The contents of Jacobi Lazar Ludwig DDS are for informational purposes only.