Individual
JAN C HU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
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
122300000X
Dentist
2901017619
MI
1223P0221X
Pediatric Dentistry
Primary
2901017619
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958111960
BCBS OF MI MED SURGICAL
MI
05
—
2667565
—
OH
05
—
4747308
—
MI
05
—
4747317
—
MI
01
—
D176190
BCBS OF MI DENTAL
MI
Enumeration date
03/14/2007
Last updated
06/17/2008
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