Individual
DR. JACQUELYN KWONG CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
32905 W TWELVE MILE RD, SUITE #350, FARMINGTON HILLS, MI 48334
(248) 489-7008
(248) 489-7038
Mailing address
32905 W TWELVE MILE RD, SUITE #350, FARMINGTON HILLS, MI 48334
(248) 489-7008
(248) 489-7038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015337
MI
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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