Organization
JAYCORP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BUTROS JAGHAB DDS (OWNER)
(248) 349-2750
Entity
Organization
Contact information
Practice address
8216 E 12 MILE RD, WARREN, MI 48093-2737
(586) 574-2323
Mailing address
416 S MAIN ST, NORTHVILLE, MI 48167-1647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016324
MI
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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