Organization
JACKO & SIEFKER DDS, LLC
Active
Other names
Wellington Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R SIEFKER DDS (CEO)
(440) 647-2752
Entity
Organization
Contact information
Practice address
210 HERITAGE DR, WELLINGTON, OH 44090-8949
(440) 647-2752
Mailing address
210 HERITAGE DR, WELLINGTON, OH 44090-8949
(440) 647-2752
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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