Individual
SOE MIN HTET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7608
Mailing address
1430 PALM AVE, SAN GABRIEL, CA 91776-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104290
CA
1223G0001X
General Practice Dentistry
22DI02729500
NJ
Other
Enumeration date
11/03/2018
Last updated
10/01/2019
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