| Jaycorp Llc | |
|
8216 E 12 Mile Rd Warren MI 48093-2737 | |
| (586) 574-2323 | |
| Not Available |
| Full Name | Jaycorp Llc |
|---|---|
| Speciality | Dentist |
| Location | 8216 E 12 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Jeffrey Butros Jaghab (OWNER) |
| Authorized Official Contact | 2483492750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaycorp Llc 416 S Main St Northville MI 48167-1647 Ph: () - | Jaycorp Llc 8216 E 12 Mile Rd Warren MI 48093-2737 Ph: (586) 574-2323 |
| NPI Number | 1497073357 |
|---|---|
| Provider Enumeration Date | 05/17/2010 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497073357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901016324 (Michigan) | Primary |
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