Individual
DR. JENNIFER TASEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(734) 453-5588
Mailing address
6495 LAPHAM CT, PLYMOUTH, MI 48170-5852
(734) 392-7658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019645
MI
Other
Enumeration date
10/24/2007
Last updated
02/03/2012
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