Individual
JERROLD ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2952000239
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2952000239
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2952000239
ZZ
Other
Enumeration date
09/23/2022
Last updated
10/24/2022
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