Organization
JATIVA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCY SOSKO (FRONT OFFICE)
(517) 456-7471
Entity
Organization
Contact information
Practice address
147 W MICHIGAN AVE, CLINTON, MI 49236-9577
(517) 456-7471
Mailing address
PO BOX 549, CLINTON, MI 49236-0549
(517) 456-7471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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