| Jane L Watko Dds Plc | |
|
20307 W 12 Mile Rd Ste #106 Southfield MI 48076-5407 | |
| (248) 353-8860 | |
| (248) 353-8859 |
| Full Name | Jane L Watko Dds Plc |
|---|---|
| Speciality | Dentist |
| Location | 20307 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Jane L Watko (DENTIST OWNER) |
| Authorized Official Contact | 2483538860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane L Watko Dds Plc 25994 Elwell Rd Belleville MI 48111-9609 Ph: (586) 292-5703 | Jane L Watko Dds Plc 20307 W 12 Mile Rd Ste #106 Southfield MI 48076-5407 Ph: (248) 353-8860 |
| NPI Number | 1639382450 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639382450 | NPI | - | NPPES |
| 4232353 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901015874 (Michigan) | Primary |
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› Verified 2 days ago
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