Individual
MINH-PHUONG ISABELLE KIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6629
Mailing address
1 LAFAYETTE PLAISANCE ST APT 609, DETROIT, MI 48207-2821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021361
MI
Other
Enumeration date
07/07/2014
Last updated
07/10/2014
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