Individual
RICHARD JAMNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
2711 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1446
(248) 682-0922
(248) 682-0940
Mailing address
3570 HIDDEN FOREST CT, ORION, MI 48359-1477
(248) 393-0652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12302
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4050762
—
MI
Enumeration date
08/09/2006
Last updated
07/09/2007
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