Organization
JEWELL DENTAL OF EASTPOINTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD BERNARD JEWELL DDS (PRESIDENT)
(586) 778-6666
Entity
Organization
Contact information
Practice address
20770 KELLY RD, EASTPOINTE, MI 48021-3114
(586) 778-6666
Mailing address
39500 W 14 MILE RD, SUITE 307, COMMERCE TOWNSHIP, MI 48390-3908
(313) 535-7770
(313) 535-0280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17336
MI
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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