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Individual
DR. UBONWAN SAE-UNG
Active
Individual
DR. UBONWAN SAE-UNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021203
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750700456
—
MI
Enumeration date
04/09/2014
Last updated
11/15/2017
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