Organization
GREAT LAKES DENTAL VENTURES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM AHMAD AL-JERDI DDS (DENTIST)
(734) 931-2484
Entity
Organization
Contact information
Practice address
7437 JACKMAN RD, TEMPERANCE, MI 48182-9223
(734) 847-1780
Mailing address
7437 JACKMAN RD, TEMPERANCE, MI 48182-9223
(734) 847-1780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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