Individual
DR. JAY DEXTER MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20905 GREENFIELD RD, SUITE 400, SOUTHFIELD, MI 48075-5360
(248) 569-2323
(248) 569-1150
Mailing address
20905 GREENFIELD RD, SUITE 400, SOUTHFIELD, MI 48075-5360
(248) 569-2323
(248) 569-1150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010244
MI
Other
Enumeration date
05/25/2008
Last updated
05/25/2008
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