Individual
DR. JERRY J KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25147 W WARREN AVE, DEARBORN HEIGHTS, MI 48127-2198
(313) 277-3000
(313) 277-3068
Mailing address
25147 W WARREN AVE, DEARBORN HEIGHTS, MI 48127
(313) 277-3000
(313) 277-3068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011909
MI
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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