Individual
JACOB PESIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
29224 W 8 MILE RD, FARMINGTON HILLS, MI 48336-5500
(248) 478-1650
Mailing address
28880 CREEK BEND DR, FARMINGTON HILLS, MI 48331-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11339
MI
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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