Individual
DR. JOOWON SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
806 N WASHINGTON AVE, LANSING, MI 48906-5134
(517) 485-4713
Mailing address
13125 SPECKLEDWOOD DRIVE, DEWITT, MI 48820
(313) 575-6794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4332330
—
MI
Enumeration date
09/25/2006
Last updated
04/09/2009
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