Organization
COBBLESTONE RIDGE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TENO DDS (DENTIST)
(586) 781-2757
Entity
Organization
Contact information
Practice address
16800 24 MILE RD STE 5, MACOMB, MI 48042-2990
(586) 781-2757
Mailing address
16800 24 MILE RD, MACOMB, MI 48042-2990
(586) 612-8472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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