JOHN M SUSHKO DDS PC
Dentist at Old Woodward Ave, Bham, MI

License number
Michigan 1810857
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. JOHN MICHAEL SUSHKO DDS
Title: EXECUTIVE DIRECTOR
Phone: (248) 644-5735
Address
Address
720 N Old Woodward Ave SUITE 201, Bham, MI 48009
National Provider ID: 1366597148
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN M. SUSHKO, D.D.S., PC

720 N Old Woodward, Birmingham, MI 48009

Status:
Inactive
Industry:
Dentists Office
Doing business as:
John M Sushko DDS P C
Registration:
Dec 29, 1982
Phone:
(248) 644-5735 (Phone)
State ID:
239679
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2009
Executive Director, Family And General Dentistry, Presidents:
Kathleen Quet (Vice-President),John M. Sushko (Executive Director, Family And General Dentistry, President)
Agent:
John M. Sushko, D.d.s

Dentist licenses in Michigan