Individual
DR. JACOB STEVEN SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27132 MAIN ST UNIT 200, CONIFER, CO 80433-8523
(920) 287-3166
Mailing address
N72W13524 LUND LN UNIT 208, MENOMONEE FALLS, WI 53051-6122
(765) 427-6605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204151
CO
1223G0001X
General Practice Dentistry
1001352 - 15
WI
Other
Enumeration date
07/12/2016
Last updated
02/04/2022
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