Individual
DR. JENNIFER PERSICHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
35992 S GRATIOT AVE, CLINTON TOWNSHIP, MI 48035-1776
(586) 790-7360
Mailing address
2783 WAKEFIELD RD, BERKLEY, MI 48072-3618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M330515
MI
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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