Organization
PERSICHETTI DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PERSICHETTI DDS (OWNER)
(248) 252-7551
Entity
Organization
Contact information
Practice address
41570 HAYES RD STE F, CLINTON TOWNSHIP, MI 48038-5819
(248) 252-7551
Mailing address
41570 HAYES RD STE F, CLINTON TOWNSHIP, MI 48038-5819
(248) 252-7551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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