| Jonathan Miodownik Dmd Pllc | |
|
24764 Southfield Rd Southfield MI 48075-2715 | |
| (248) 557-2618 | |
| (248) 557-3211 |
| Full Name | Jonathan Miodownik Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24764 Southfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Jonathan Miodownik (DENTIST) |
| Authorized Official Contact | 2485572618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Miodownik Dmd Pllc 24764 Southfield Rd Southfield MI 48075-2715 Ph: (248) 557-2618 | Jonathan Miodownik Dmd Pllc 24764 Southfield Rd Southfield MI 48075-2715 Ph: (248) 557-2618 |
| NPI Number | 1710581277 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710581277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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