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Individual
SIMON TOUCHAN
Active
Individual
SIMON TOUCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018730
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901018730
MI
390200000X
Student in an Organized Health Care Education/Training Program
2901018730
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301088665
MI
Other
Enumeration date
04/09/2007
Last updated
10/29/2009
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