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Jerel Owens D.M.D., P.C.

Dentist, General Practice in Detroit, MI. Organization (NPI-2).

NPI number1760633747
StatusActive
Last updated in NPPESOct 8, 2008

Details

NPI
1760633747
Entity type
Organization (NPI-2)
Legal business name
Jerel Owens D.M.D., P.C.
Organization subpart
Yes
Enumeration date
Oct 8, 2008
Last updated
Oct 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice11444MIYes

Practice location

15344 W. McNichols
Detroit, MI 48235-3722

Phone 313-273-0640 · Fax 313-273-0118

Mailing address

15344 W McNichols Rd
Detroit, MI 48235-3722

Phone 313-273-0640 · Fax 313-273-0118

Authorized official

Jerel Owens
President
3132730640

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