Individual
DR. JOSE PH JABBOURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4785 LEAVITT RD, LORAIN, OH 44053-2136
(440) 282-6677
Mailing address
4785 LEAVITT RD, LORAIN, OH 44053-2136
(440) 282-6677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061343
—
OH
Enumeration date
09/20/2006
Last updated
11/08/2023
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