Individual
DR. JACK LEE MEDEMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
G 4221 CORUNNA ROAD, FLINT, MI 48532
(810) 732-8020
(810) 732-9356
Mailing address
4221 CORUNNA RD, FLINT, MI 48532-4316
(810) 732-8020
(810) 732-9356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13484
MI
Other
Enumeration date
03/30/2006
Last updated
04/11/2016
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