| J.a. Penzien, P.c. | |
|
55191 Shelby Rd Shelby Township MI 48316-1150 | |
| (248) 650-5500 | |
| Not Available |
| Full Name | J.a. Penzien, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 55191 Shelby Rd, Shelby Township, Michigan |
| Authorized Official Name and Position | Jonathan Penzien (OWNER) |
| Authorized Official Contact | 2486505500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.a. Penzien, P.c. 55191 Shelby Rd Shelby Township MI 48316-1150 Ph: () - | J.a. Penzien, P.c. 55191 Shelby Rd Shelby Township MI 48316-1150 Ph: (248) 650-5500 |
| NPI Number | 1578064481 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 02/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578064481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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