Individual
MICHELLE FAYE AI-KOON GOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4404 16TH ST, MOLINE, IL 61265-7012
(309) 948-6041
Mailing address
4404 16TH ST, MOLINE, IL 61265-7012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030984
IL
Other
Enumeration date
09/14/2016
Last updated
11/01/2016
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