| Alexander A. Dutko, D.d.s., P.c. | |
|
29439 Ryan Rd Warren MI 48092-2203 | |
| (586) 558-9666 | |
| (586) 558-8121 |
| Full Name | Alexander A. Dutko, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29439 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Alexander Askold Dutko (PRESIDENT) |
| Authorized Official Contact | 5865589666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander A. Dutko, D.d.s., P.c. 29439 Ryan Rd Warren MI 48092-2203 Ph: (586) 558-9666 | Alexander A. Dutko, D.d.s., P.c. 29439 Ryan Rd Warren MI 48092-2203 Ph: (586) 558-9666 |
| NPI Number | 1184993487 |
|---|---|
| Provider Enumeration Date | 12/15/2011 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184993487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901015160 (Michigan) | Primary |
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