Organization
CHIPPEWA CREEK DENTAL-DRS. SIEFKER AND JACKO DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R SIEFKER DDS (CEO)
(330) 769-2918
Entity
Organization
Contact information
Practice address
10 W MAIN ST, SEVILLE, OH 44273-8851
(330) 769-2918
(330) 769-2888
Mailing address
10 W MAIN ST, SEVILLE, OH 44273-8851
(330) 769-2918
(330) 769-2888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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