Dental Board of California
Licensing details for: 56390
Name: JACOBSON, BLAIN ROSS
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
4434 KEWANEE ST
FAIR OAKS CA 95628
SACRAMENTO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BLAIN JACOBSON, DMD, A PROF. DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 9798 Primary Status: Cancelled
Address :
114 E STREET
DAVIS CA 95616
YOLO COUNTY
