Individual
DR. JENNIFER LYNN DEBLOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1980 FRED W MOORE HWY, SAINT CLAIR, MI 48079-4701
(810) 329-7440
Mailing address
26551 24 MILE RD, CHESTERFIELD, MI 48051-1515
(810) 531-0142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022632
MI
1223G0001X
General Practice Dentistry
22632
MI
Other
Enumeration date
05/25/2018
Last updated
06/26/2020
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