Organization
JUN A. SOETANTO DMD LLC
Active
Other names
Amherst Neighborhood Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN SOETANTO DMD (OWNER)
(484) 557-4808
Entity
Organization
Contact information
Practice address
2266 KRESGE DR, AMHERST, OH 44001-1260
(440) 960-0090
Mailing address
2266 KRESGE DR, AMHERST, OH 44001-1260
(440) 960-0090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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