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Organization
ALEXANDER A. DUTKO, D.D.S., P.C.
Active
Organization
ALEXANDER A. DUTKO, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER ASKOLD DUTKO D.D.S. (PRESIDENT)
(586) 558-9666
Entity
Organization
Contact information
Practice address
29439 RYAN RD, WARREN, MI 48092-2203
(586) 558-9666
(586) 558-8121
Mailing address
29439 RYAN RD, WARREN, MI 48092-2203
(586) 558-9666
(586) 558-8121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015160
MI
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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