Individual
JESSICA KOWYNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15400 19 MILE RD STE 180, CLINTON TWP, MI 48038-6311
(586) 228-0909
Mailing address
15400 19 MILE RD STE 180, CLINTON TWP, MI 48038-6311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601020
MI
Other
Enumeration date
07/29/2021
Last updated
09/09/2021
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