JACOB DANIEL CARLISLE

BENTON HARBOR, MI
NPI1437718301
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MI  2901600138)
Enumeration Date2019-06-13
Last Update Date2019-06-13
Business Address
Dr. JACOB DANIEL CARLISLE DDS
800 M 139
BENTON HARBOR, MI 49022-3881
Phone number: 855-869-6900
Mailing Address
Dr. JACOB DANIEL CARLISLE DDS
822 SHIP ST APT 5
SAINT JOSEPH, MI 49085-1138
Phone number: