Individual
LEAH MICHELLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
(586) 774-2400
Mailing address
24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
(586) 774-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601468
MI
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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