Individual
DR. JACOB DANTE LUPINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1680 KINGSWAY CT STE 1, TRENTON, MI 48183-1957
(734) 675-2510
(734) 675-7130
Mailing address
15794 GARRISON LN, SOUTHGATE, MI 48195-2639
(517) 993-3269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601771
MI
Other
Enumeration date
05/10/2023
Last updated
07/25/2023
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