Individual
JUSTIN KHOI DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Mailing address
30239 BEECHWOOD ST, GARDEN CITY, MI 48135-2385
(734) 578-6447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014441A
IN
Other
Enumeration date
04/15/2024
Last updated
06/11/2024
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