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Individual

JENNIFER A CLEARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-6933
Mailing address
1850 WYNGARDEN LN, EAST LANSING, MI 48823-2104
(517) 242-0323

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022731
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2901022731
MI
Enumeration date
06/23/2018
Last updated
11/25/2020
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