Individual
DR. SE JIN OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10803 MISSOURI 350, RAYTOWN, MO 64138
(816) 743-4349
Mailing address
530 RIFLE RIDGE DR, O FALLON, MO 63366-4858
(317) 371-6478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2013009437
MO
Other
Enumeration date
05/16/2013
Last updated
05/20/2013
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