Individual
DR. GENE TILDEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1221 W FAIRBANKS AVE, ORLANDO, FL 32804-1205
(407) 628-9091
(407) 628-9095
Mailing address
1221 W FAIRBANKS AVE, ORLANDO, FL 32804-1205
(407) 628-9091
(407) 628-9095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 7520
FL
Other
Enumeration date
01/25/2007
Last updated
09/07/2011
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