Organization
JS DUDOVITZ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DUDOVITZ OD (OWNER)
(248) 666-3377
Entity
Organization
Contact information
Practice address
6650 HIGHLAND RD, 118, WATERFORD, MI 48327-1660
(248) 666-3377
(248) 666-4332
Mailing address
6650 HIGHLAND RD, 118, WATERFORD, MI 48327-1660
(248) 666-3377
(248) 666-4332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F33410
BLUE CROSS
—
Enumeration date
03/21/2008
Last updated
04/02/2008
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