Organization
RODEM TREE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOOWON SUH D.D.S. (PRESIDENT)
(517) 802-8102
Entity
Organization
Contact information
Practice address
5001 W ST JOE HWY, LANSING, MI 48917-4023
(517) 321-0924
Mailing address
13125 SPECKLEDWOOD DR, DEWITT, MI 48820-8185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018213
MI
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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