Individual
DR. LEENA JIBAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18444 FARMINGTON RD, LIVONIA, MI 48152-3588
(734) 454-9200
Mailing address
10850 S OAK PARK AVE, WORTH, IL 60482-1521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.033255
IL
122300000X
Dentist
Primary
22259140927
MI
Other
Enumeration date
07/07/2021
Last updated
06/16/2025
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