Individual
THOMAS DAHL JUSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
30330 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3821
(248) 851-5710
(248) 851-7823
Mailing address
30330 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3821
(248) 851-5710
(248) 851-7823
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901012810
MI
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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