Medemar, Jack Lee

Medemar, Jack Lee is an individual health care provider with primary practice located at G 4221 Corunna Road , Flint MI 48532. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Medemar, Jack Lee can be contacted via phone (810) 732-8020.

Contact Information

Primary practice address
G 4221 Corunna Road Flint MI 48532
Phone: (810) 732-8020
Fax: (810) 732-9356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13484 Michigan

Profile Details

NPI number 1003877952
LBN Legal business name Medemar, Jack Lee
Credentials DDS PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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