Individual
DR. JORDAN RABBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18181 W 12 MILE RD, LATHRUP VILLAGE, MI 48076-2666
(248) 557-5756
Mailing address
4951 CHERRY BLOSSOM CIR, WEST BLOOMFIELD, MI 48324-1297
(248) 231-4567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600603
MI
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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