Individual
ANDREW ROBERT JOCKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
380 N STATE RD, OTISVILLE, MI 48463-9486
(810) 631-4524
Mailing address
9496 TIMBER RIDGE DR, GRAND BLANC, MI 48439-7379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600583
MI
Other
Enumeration date
07/23/2020
Last updated
07/24/2020
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