Organization
J.A. PENZIEN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PENZIEN (OWNER)
(248) 650-5500
Entity
Organization
Contact information
Practice address
55191 SHELBY RD, SHELBY TOWNSHIP, MI 48316-1150
(248) 650-5500
Mailing address
55191 SHELBY RD, SHELBY TOWNSHIP, MI 48316-1150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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