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