Individual
DR. JILL DAWN BASHUTSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1011 N UNIVERSITY AVE, RM 1324, ANN ARBOR, MI 48109-1078
(734) 255-7713
Mailing address
1011 N UNIVERSITY AVE, RM 1324, ANN ARBOR, MI 48109-1078
(734) 255-7713
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901019949
MI
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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