| Michael L. Jacobsen, D.d.s., M.s., Inc. | |
|
12587 Hesperia Rd Ste A Victorville CA 92395-5847 | |
| (760) 951-7752 | |
| (760) 951-5446 |
| Full Name | Michael L. Jacobsen, D.d.s., M.s., Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12587 Hesperia Rd Ste A, Victorville, California |
| Authorized Official Name and Position | Michael Jacobsen (PRESIDENT) |
| Authorized Official Contact | 7609517752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Jacobsen, D.d.s., M.s., Inc. 12587 Hesperia Rd Ste A Victorville CA 92395-5847 Ph: (760) 951-7752 | Michael L. Jacobsen, D.d.s., M.s., Inc. 12587 Hesperia Rd Ste A Victorville CA 92395-5847 Ph: (760) 951-7752 |
| NPI Number | 1831103175 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831103175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30185 (California) | Primary |
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