Organization
JERROLDHERMAN,D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD HERMAN D.D.S. (PRESIDENT)
(248) 552-0700
Entity
Organization
Contact information
Practice address
17550 W 11 MILE RD, SUITE B, LATHRUP VILLAGE, MI 48076-4728
(248) 552-0700
Mailing address
17550 W 11 MILE RD, SUITE B, LATHRUP VILLAGE, MI 48076-4728
(248) 552-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11447
MI
Other
Enumeration date
05/11/2008
Last updated
05/11/2008
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