Individual
DR. JACOB MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
262 LONGFORD DR, GRANVILLE, OH 43023-9282
(740) 755-5725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602527
MI
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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