Organization
WIILLIAM A. PATCHAK D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ALLAN PATCHAK D.D.S. (PRESIDENT)
(517) 788-8340
Entity
Organization
Contact information
Practice address
306 W WASHINGTON AVE, SUITE 105, JACKSON, MI 49201-2169
(517) 788-8340
(517) 788-8343
Mailing address
306 W WASHINGTON AVE, SUITE 105, JACKSON, MI 49201-2169
(517) 788-8340
(517) 788-8343
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011397
MI
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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