Individual
DR. JESSICA MARIE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4855 W CENTRE AVE, PORTAGE, MI 49024-4686
(269) 375-0800
Mailing address
4855 W CENTRE AVE, PORTAGE, MI 49024-4686
(269) 375-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022311
MI
Other
Enumeration date
06/15/2017
Last updated
02/10/2021
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