Male or Other

Dr. Justin H. Krawiec DDS

General Practice Dentistry in Detroit, MI(View on Map)

Full Name

Dr. Justin Herbert Krawiec DDS

NPI Number

1407015605

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/03/2008

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

2901019782

Contact
Information

Purpose

Mailing
Location

Address

18400 GRAND RIVER AVE
18400 GRAND RIVER AVE

City

Detroit
Detroit

State

MI
MI

Postal Code

48223-2317
48223-2317

Country

US
US

Telephone Number

(313) 836-1111
(313) 836-1111

Identifiers

Identifier

2901019782

Identifier State

MI

Identifier Issuer

STATE LICENSE NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/15/2022

Provider Address

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