| Jewell Family Dental | |
|
19135 Grand River Ave Detroit MI 48223-1704 | |
| (313) 535-7770 | |
| Not Available |
| Full Name | Jewell Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19135 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Reginald Bernard Jewell (PRESIDENT) |
| Authorized Official Contact | 3135357770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewell Family Dental 19135 Grand River Ave Detroit MI 48223-1704 Ph: (313) 535-7770 | Jewell Family Dental 19135 Grand River Ave Detroit MI 48223-1704 Ph: (313) 535-7770 |
| NPI Number | 1932319746 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932319746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17336 (Michigan) | Primary |
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