Individual
DR. JEFFREY E PERSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5238 W ST JOE HWY, SUITE 2, LANSING, MI 48917-4085
(517) 323-1000
(517) 886-5566
Mailing address
4451 SATINWOOD DR, OKEMOS, MI 48864-3074
(517) 831-0813
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901015669
MI
Other
Enumeration date
09/06/2006
Last updated
10/14/2021
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