Peter W Jacobsen Dds Pllc

NPI 1053480988 - Dentist - 1223G0001X

NPI Details
NPI 1053480988
Enumeration Date 11/07/2006
Last Updated 08/01/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JULIE S JULIE
Position MANAGER
Phone (425) 413-8525
Fax (425) 413-8599
Practice Location
27016 MAPLE VALLEY BLK DIAMOND RD SE
MAPLE VALLEY WA, 98038, US
Phone (425) 413-8525
Fax (425) 413-8599
Business Location
27016 MAPLE VALLEY BLK DIAMOND RD SE
MAPLE VALLEY WA, 98038, US
Phone (425) 413-8525
Fax (425) 413-8599
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number DE00005267
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According to our database, Peter W Jacobsen Dds Pllc NPI is 1053480988, taxonomy code is 1223G0001X and license number is DE00005267, license state is located at Washington. Peter W Jacobsen Dds Pllc physically located at 27016 Maple Valley Blk Diamond Rd Se, Maple Valley WA, 98038. NPI Number 1033115704 has the healthcare provider type.

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1053480988 NPI number is provided on an as is basis without warranty of any kind. 1053480988 is maintained by the National Plan & Provider Enumeration System. The contents of Peter W Jacobsen Dds Pllc are for informational purposes only.