# JAYCORP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497073357
- **Authorized official:** DR. JEFFREY BUTROS JAGHAB DDS (OWNER)
- **Authorized official phone:** (248) 349-2750

## Contact information

- **Practice address:** 8216 E 12 MILE RD, WARREN, MI 48093-2737
- **Practice address phone:** (586) 574-2323
- **Mailing address:** 416 S MAIN ST, NORTHVILLE, MI 48167-1647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901016324 | MI | Yes |

## Other

- **Enumeration date:** 05/17/2010
- **Last updated:** 05/17/2010