Michael D Jennings, DENTIST

NPI #1043417504 in Saint Clair Shores, Michigan

Provider Information

NPI Number: 1043417504
Entity Type: Individual
Name: Michael D Jennings, DENTIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DENTIST
Enumeration Date: Jun 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 22601 HARPER AVE
Address 2: SUITE 1003
City: Saint Clair Shores
State: Michigan
ZIP Code: 48080-1829
Phone: (586) 772-7393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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