Individual
JANA TUMPKIN MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24405 MICHIGAN AVE, DEARBORN, MI 48124-1827
(313) 730-1213
(313) 730-1226
Mailing address
29702 SOUTHFIELD RD STE H, SOUTHFIELD, MI 48076-2096
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901015114
MI
Other
Enumeration date
02/22/2007
Last updated
08/05/2022
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