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ANDREW ROBERT JOCKERS DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1801405097

Individual Registrant:
 ANDREW ROBERT JOCKERS DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
380 N STATE RD  OTISVILLE, MI 48463-9486 US
Tel: 810-631-4524  Fax: --

Contact information for business:
9496 TIMBER RIDGE DR  GRAND BLANC, MI 48439-7379 US
Tel: --  Fax: --

Registration Information:
NPI: 1801405097
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MI2901600583

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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