Individual
DR. GREG L PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1640 FORT ST, SUITE A, TRENTON, MI 48183-2040
(734) 675-8400
(734) 675-7399
Mailing address
1640 FORT ST, SUITE A, TRENTON, MI 48183-2040
(734) 675-8400
(734) 675-7399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011732
MI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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