Organization
M JEAN KAY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYUNG JEAN KAY DDS (DDS)
(419) 893-3376
Entity
Organization
Contact information
Practice address
5665 MONCLOVA ROAD, MAUMEE, OH 43537-1835
(419) 893-3376
(419) 893-0575
Mailing address
5665 MONCLOVA ROAD, MAUMEE, OH 43537-1835
(419) 893-3376
(419) 893-0575
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30020999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373300
BCMH
—
Enumeration date
12/08/2006
Last updated
08/22/2020
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