Organization
GENTLE DENTAL JEFFERSON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
529 E JEFFERSON AVE, DETROIT, MI 48226-4324
(313) 963-3336
(313) 963-6464
Mailing address
529 E JEFFERSON AVE, DETROIT, MI 48226-4324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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