Individual
DR. JUSTIN HERBERT KRAWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18400 GRAND RIVER AVE, DETROIT, MI 48223-2317
(313) 836-1111
(313) 836-1371
Mailing address
18400 GRAND RIVER AVE, DETROIT, MI 48223-2317
(313) 836-1111
(313) 836-1371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019782
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901019782
STATE LICENSE NUMBER
MI
Enumeration date
06/03/2008
Last updated
12/15/2022
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