Organization
DOYLESTOWN DENTAL ASSOCIATES DR JACKO AND DR SIEFKER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYANN JACKO DDS (OWNER)
(330) 658-6983
Entity
Organization
Contact information
Practice address
25 N PORTAGE ST, DOYLESTOWN, OH 44230-1349
(330) 658-6983
(330) 658-6883
Mailing address
25 N PORTAGE ST, DOYLESTOWN, OH 44230-1349
(330) 658-6983
(330) 658-6883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30021302
OH
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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