Individual
DR. STEVEN EUGENE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
44550 VILLAGE CT, SUITE 102, PALM DESERT, CA 92260-3817
(760) 674-4410
(760) 674-4414
Mailing address
44550 VILLAGE CT, SUITE 102, PALM DESERT, CA 92260-3817
(760) 674-4410
(760) 674-4414
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
52521
CA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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