Individual
DR. MIN OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
3201 BEMIS RD, YPSILANTI, MI 48197-9307
(734) 572-9532
Mailing address
2896 DILLON DR, ANN ARBOR, MI 48105-3708
(734) 846-6156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601001
MI
122300000X
Dentist
DE.61126175
WA
122300000X
Dentist
DEN.00204551
CO
122300000X
Dentist
DENT.DE.61126175
WA
Other
Enumeration date
01/10/2021
Last updated
10/26/2021
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