Individual
DR. JONATHAN MIODOWNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
24764 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2715
(248) 557-2618
Mailing address
44405 WOODWARD AVE, MERCY DENTAL CENTER, PONTIAC, MI 48341-5023
(248) 858-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021005
MI
Other
Enumeration date
07/01/2013
Last updated
11/25/2020
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