Individual
JACOB WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7934 ASHTON WOODS DR, PORTAGE, MI 49024-5090
(269) 501-9018
Mailing address
5274 MARKET ST, KALAMAZOO, MI 49048-9550
(269) 501-9018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601089
MI
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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