Organization
GD MI J&G-BROWNSTOWN PLLC
Active
Other names
Jaffe Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
20820 TELEGRAPH RD, BROWNSTOWN, MI 48174-9319
(734) 479-4111
Mailing address
20820 TELEGRAPH RD, BROWNSTOWN, MI 48174-9319
(734) 479-4111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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