Individual
MR. TAE-JU OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
13403 13 MILE RD, WARREN, MI 48088
(586) 979-2800
(586) 979-2720
Mailing address
13403 13 MILE RD, WARREN, MI 48088
(586) 979-2800
(586) 979-2720
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901018175
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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