Individual
DR. MARK JESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3855 BURTON ST SE STE B, GRAND RAPIDS, MI 49546
(616) 369-0360
(616) 369-0361
Mailing address
3855 BURTON ST SE STE B, GRAND RAPIDS, MI 49546-6147
(616) 369-0360
(616) 369-0361
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
L2299335
MI
Other
Enumeration date
06/22/2008
Last updated
02/13/2019
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