Individual
MS. JENNIFER MARIE FEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5805 24 MILE RD, SHELBY TWP, MI 48316-3281
(586) 781-6509
Mailing address
5805 24 MILE ROAD, SHELBY TWP., MI 48317
(586) 781-6509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020025
MI
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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