Reginald Bernard Jewell DDS

NPI 1053527812 - Dentist - 1223G0001X

NPI Details
NPI 1053527812
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
19135 GRAND RIVER AVE
DETROIT MI, 48223-1704, US
Phone (313) 535-7770
Fax
Business Location
19135 GRAND RIVER AVE
DETROIT MI, 48223-1704, US
Phone (313) 535-7770
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 17336
Remove 1053527812 NPI Number
 

According to our database, Dr. Reginald Bernard Jewell DDS NPI is 1053527812, taxonomy code is 1223G0001X and license number is 17336, license state is located at Michigan. Reginald Bernard Jewell DDS physically located at 19135 Grand River Ave, Detroit MI, 48223-1704. NPI Number Reginald Bernard Jewell DDS has the Individual type.

Sponsored links

1053527812 NPI number is provided on an as is basis without warranty of any kind. 1053527812 is maintained by the National Plan & Provider Enumeration System. The contents of Reginald Bernard Jewell DDS are for informational purposes only.