Individual
JACOB KAWWAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18618 MIDDLEBELT RD STE 105, LIVONIA, MI 48152-3586
(248) 587-8330
Mailing address
23976 WESTMONT DR, NOVI, MI 48374-3658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602169
MI
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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