MARK J JACOBS

LIVONIA, MI
NPI1598770273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  1388995)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
Dr. MARK J JACOBS DDS
16824 NEWBURGH RD
LIVONIA, MI 48154-1600
Phone number: 734-591-4145
Mailing Address
Dr. MARK J JACOBS DDS
2771 FERRIS ST
BERKLEY, MI 48072-2113
Phone number: 248-246-6390
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