Individual
EDWIN MAN KIN LEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-0999
(734) 936-5732
Mailing address
300 SE 120TH AVE STE 800, VANCOUVER, WA 98683-4094
(360) 260-3290
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE60019072
WA
390200000X
Student in an Organized Health Care Education/Training Program
2901018359
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087381
MI
Other
Enumeration date
04/09/2007
Last updated
04/19/2021
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