Individual
DR. CAROLYN THANH QUYNH QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22010 EUREKA RD, TAYLOR, MI 48180-5233
(313) 766-0111
Mailing address
22010 EUREKA RD, TAYLOR, MI 48180-5233
(313) 766-0111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601106
MI
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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