Individual
DR. JUSTIN PARK TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1590 W SHERMAN BLVD, MUSKEGON, MI 49441-3543
(231) 759-0855
Mailing address
285 W WESTERN AVE APT 303, MUSKEGON, MI 49440-1127
(231) 799-5665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600484
MI
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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