Visiting Dental Associates P.c.

NPI #1306135413 in Eastpointe, Michigan

Provider Information

NPI Number: 1306135413
Entity Type: Organization
Organization Name: Visiting Dental Associates P.c.
Primary Specialty: Dentist
Enumeration Date: Mar 30, 2011
Last Updated: Mar 30, 2011

Practice Location

Address: 20770 KELLY RD
Address 2: SUITE B
City: Eastpointe
State: Michigan
ZIP Code: 48021-3114
Phone: (586) 779-3333

Authorized Official

Name: DR. REGINALD BERNARD JEWELL, DDS
Title: PRESIDENT
Phone: (313) 535-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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