Organization
JMG DENTISTRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN GELLER DDS (OWNER)
(248) 926-4030
Entity
Organization
Contact information
Practice address
31202 NOVI RD, NOVI, MI 48377-4550
(248) 926-4030
Mailing address
31202 NOVI RD, NOVI, MI 48377-4550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17995
MI
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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