Individual
MR. JASON T VETTRAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
43380 WOODWARD AVE STE 107, BLOOMFIELD HILLS, MI 48302-5050
(248) 338-3550
Mailing address
43380 WOODWARD AVE, STE 107, BLOOMFIELD HILLS, MI 48302-5050
(248) 338-3550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124832641
—
MI
Enumeration date
01/19/2007
Last updated
06/06/2016
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