Individual
MICHAEL D JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
22601 HARPER AVE, SUITE 1003, SAINT CLAIR SHORES, MI 48080-1829
(586) 772-7393
Mailing address
22601 HARPER AVE, SUITE 1003, SAINT CLAIR SHORES, MI 48080-1829
(586) 772-7393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11575
MI
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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