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Individual

MR. SEUNGHO ROBIN BAEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1808 S PENNSYLVANIA AVE, LANSING, MI 48910-1897
(517) 372-5051
Mailing address
5105 MADISON AVE, C4, OKEMOS, MI 48864-5124
(517) 775-5636

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19076
MI

Other

Enumeration date
02/23/2007
Last updated
07/20/2007
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