Individual
DR. ANNE ELIZABETH JACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
199 N LEAVITT RD, SUITE 102, AMHERST, OH 44001-1174
(440) 988-2615
(440) 988-5949
Mailing address
199 N LEAVITT RD, SUITE 102, AMHERST, OH 44001-1174
(440) 988-2615
(440) 988-5949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21881
OH
Other
Enumeration date
05/23/2005
Last updated
02/04/2008
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