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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