Organization
JASA DENTAL SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J SABOURIN DDS (OWNER)
(989) 964-1301
Entity
Organization
Contact information
Practice address
3456 SHATTUCK RD STE 3, SAGINAW, MI 48603-7013
(989) 792-8315
Mailing address
615 WASHINGTON AVE, BAY CITY, MI 48708-5727
(248) 886-9611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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