Organization
APPLESEED FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MING HONG PUN DDS (OWNER/DENTIST)
(740) 244-5025
Entity
Organization
Contact information
Practice address
5141 CLARK SHAW RD, POWELL, OH 43065-8965
(740) 244-5025
Mailing address
5141 CLARK SHAW RD, POWELL, OH 43065-8965
(740) 244-5025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2286637
—
OH
Enumeration date
03/09/2009
Last updated
01/11/2024
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