Individual
DR. BRENT JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
522 W COMMERCE RD, COMMERCE TOWNSHIP, MI 48382-3923
(248) 363-3446
Mailing address
40311 OAK TREE, NOVI, MI 48375-3640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018990
MI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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