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Individual
DR. SHEU-LUN JASON MOK
Active
Individual
DR. SHEU-LUN JASON MOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029779
IL
122300000X
Dentist
9052
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019029779
ILLINOIS DENTAL LICENSE
IL
01
—
9052
9052
KY
Enumeration date
08/08/2011
Last updated
08/14/2014
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