DR. Jack Lee Medemar, DDS PC

NPI #1003877952 in Flint, Michigan

Provider Information

NPI Number: 1003877952
Entity Type: Individual
Name: DR. Jack Lee Medemar, DDS PC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS PC
Enumeration Date: Mar 30, 2006
Last Updated: Apr 11, 2016

Practice Location

Address: G 4221 CORUNNA ROAD
City: Flint
State: Michigan
ZIP Code: 48532
Phone: (810) 732-8020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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