# HYEOKJIN SON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700490224
- **Authorized official:** MS. SHERRIE FRANTZ (OFFICE)
- **Authorized official phone:** (269) 269-4689

## Contact information

- **Practice address:** 1111 LAMBERT ST, NILES, MI 49120-3439
- **Practice address phone:** (269) 262-4689
- **Practice address fax:** (269) 262-4697
- **Mailing address:** 1111 LAMBERT ST, NILES, MI 49120-3439
- **Mailing address phone:** (269) 262-4689
- **Mailing address fax:** (269) 262-4697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 01/03/2024