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Organization
TAESU PAK DENTISTRY
Active
Organization
TAESU PAK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAESU PAK DDS (OWNER DENTIST)
(650) 339-5993
Entity
Organization
Contact information
Practice address
4373 INTERPARK DR, AUBURN HILLS, MI 48326
(650) 339-5993
Mailing address
2906 BEMBRIDGE RD, ROYAL OAK, MI 48073-2925
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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