Individual
JACKIE MARIE OSANTOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
876 N VAN DYKE RD, BAD AXE, MI 48413-9016
(989) 623-0137
(989) 921-4977
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902017306
MI
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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