Organization
JONATHAN H. JACOBS, DDS, PLLC
Active
Other names
Jonathan H. Jacobs, DDS, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN H JACOBS DDS (OWNER)
(586) 774-2400
Entity
Organization
Contact information
Practice address
24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
(586) 774-2400
(586) 774-2461
Mailing address
24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
(586) 774-2400
(586) 774-2461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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