STEVEN GARY JACOB

FORT WAYNE, IN
NPI1053570200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12010605a)
Enumeration Date2008-06-03
Last Update Date2008-06-03
Business Address
Dr. STEVEN GARY JACOB D.M.D
7210 MAPLECREST RD
FORT WAYNE, IN 46835-1892
Phone number: 260-485-5530
Mailing Address
Dr. STEVEN GARY JACOB D.M.D
7210 MAPLECREST RD
FORT WAYNE, IN 46835-1892
Phone number: 260-485-5530
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