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Individual

DR. HAE SU YIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1127 W 5TH ST, MARYSVILLE, OH 43040-9282
(937) 642-2400
(937) 642-2490
Mailing address
5041 VAIL PINE PL, DUBLIN, OH 43016-9463
(614) 599-0065
(937) 642-2490

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2572470
OH
Enumeration date
05/09/2007
Last updated
07/09/2007
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