| Jerroldherman,d.d.s.,p.c. | |
|
17550 W 11 Mile Rd Suite B Lathrup Village MI 48076-4728 | |
| (248) 552-0700 | |
| Not Available |
| Full Name | Jerroldherman,d.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17550 W 11 Mile Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Jerrold Herman (PRESIDENT) |
| Authorized Official Contact | 2485520700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerroldherman,d.d.s.,p.c. 17550 W 11 Mile Rd Suite B Lathrup Village MI 48076-4728 Ph: (248) 552-0700 | Jerroldherman,d.d.s.,p.c. 17550 W 11 Mile Rd Suite B Lathrup Village MI 48076-4728 Ph: (248) 552-0700 |
| NPI Number | 1740457639 |
|---|---|
| Provider Enumeration Date | 05/11/2008 |
| Last Update Date | 05/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740457639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11447 (Michigan) | Primary |
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