Individual
JAY WAYNTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7459 MIDDLEBELT RD STE 1, WEST BLOOMFIELD, MI 48322-4184
(248) 737-2580
Mailing address
25540 KAREN ST, OAK PARK, MI 48237-1377
(248) 905-1589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601401
MI
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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