Individual
DR. NAM EOK JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5601 S CEDAR ST, LANSING, MI 48911-3810
(517) 882-0800
Mailing address
5127 BLUE SPRUCE DR, YPSILANTI, MI 48197-6809
(734) 223-5336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A089680705
PERMANENT RESIDENCY CARD
—
Enumeration date
06/18/2015
Last updated
08/06/2015
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