DR. Steven Robert Jacobsen, DDS
NPI #1760657795 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1760657795
- Entity Type
- Individual
- Name
- DR. Steven Robert Jacobsen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Apr 30, 2008
Practice Location
- Address
- 4801 HWY 61
- Address 2
- #300
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110
- Phone
- (651) 429-2299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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