Individual
CARISSA CHOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 647-4166
(734) 615-7294
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 647-4166
(734) 615-7294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2951000802
MI
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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