Individual
DR. JABY K PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15312 TRENTON RD, SOUTHGATE, MI 48195-2027
(734) 282-8600
Mailing address
15312 TRENTON RD, SOUTHGATE, MI 48195-2027
(734) 282-8600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056316
NY
122300000X
Dentist
22DI02511800
NJ
122300000X
Dentist
Primary
2901021181
MI
Other
Enumeration date
07/27/2012
Last updated
08/07/2014
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