MICHAEL ALAN JACK

CUYAHOGA FALLS, OH
NPI1538242482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OH  17357)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
-- MICHAEL ALAN JACK DDS ,MS
822 PORTAGE TRAIL
CUYAHOGA FALLS, OH 44221
Phone number: 330-929-2853
Mailing Address
-- MICHAEL ALAN JACK DDS ,MS
610 FIXLER DRIVE
WADSWORTH, OH 44281
Phone number: 330-334-1967
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