Organization
JEWELL DENTAL OF ROSE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD BERNARD JEWELL DDS (PRESIDENT)
(313) 839-8888
Entity
Organization
Contact information
Practice address
33228 W 12 MILE RD, SUITE 289, FARMINGTON HILLS, MI 48334-3309
(313) 839-8888
Mailing address
33228 W 12 MILE RD, SUITE 289, FARMINGTON HILLS, MI 48334-3309
(313) 839-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17336
MI
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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