Individual
JONATHAN E BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
32226 TALL TIMBER DR, FARMINGTON HILLS, MI 48334-1767
(248) 760-7230
Mailing address
32226 TALL TIMBER DR, FARMINGTON HILLS, MI 48334-1767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020554
MI
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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