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Organization

OKEMOS PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELVIN S JUNG DMD (PRESIDENT)
(517) 381-5244
Entity
Organization

Contact information

Practice address
3985 OKEMOS RD, OKEMOS, MI 48864-3692
(517) 381-5244
(517) 381-5247
Mailing address
3985 OKEMOS RD, OKEMOS, MI 48864-3692
(517) 381-5244
(517) 381-5247

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
04/27/2022
Last updated
04/27/2022
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