Organization
DEBLOUW FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN DEBLOUW DDS (OWNER)
(810) 329-7440
Entity
Organization
Contact information
Practice address
1980 FRED W MOORE HWY, SAINT CLAIR, MI 48079-4701
(810) 329-7440
Mailing address
1980 FRED W MOORE HWY, SAINT CLAIR, MI 48079-4701
(810) 329-7440
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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