Individual
JODY ATZMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
603 N EVANS ST, TECUMSEH, MI 49286-1166
(517) 317-8700
Mailing address
603 N EVANS ST, TECUMSEH, MI 49286-1166
(734) 425-0600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
057878
NY
1223P0221X
Pediatric Dentistry
100538
AK
1223P0221X
Pediatric Dentistry
Primary
2901021712
MI
Other
Enumeration date
10/07/2015
Last updated
07/21/2020
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