Individual
DR. ANGELA KHAMPHOUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1110 HENRY ST, ANN ARBOR, MI 48104-4339
(734) 973-3200
Mailing address
6650 EDGEWOOD RD, CANTON, MI 48187-1609
(616) 928-8484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022578
MI
122300000X
Dentist
30.025482
OH
Other
Enumeration date
06/11/2018
Last updated
02/12/2022
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