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Individual

DR. LEYVEE CABANILLA JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MSD

Contact information

Practice address
40400 ANN ARBOR RD E, STE 204A, PLYMOUTH, MI 48170-6615
(734) 459-4077
Mailing address
40400 ANN ARBOR RD E, STE 204A, PLYMOUTH, MI 48170-6615
(734) 459-4077

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901018271
MI

Other

Enumeration date
09/08/2006
Last updated
04/11/2014
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