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Individual

DR. MICHAEL JAE HOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2925 POST RD, STEVENS POINT, WI 54481-6455
(715) 341-1212
Mailing address
2925 POST RD, STEVENS POINT, WI 54481-6455
(715) 341-1212
(715) 341-0470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6096
WI
1223G0001X
General Practice Dentistry
D12235
MN

Other

Enumeration date
08/18/2006
Last updated
04/07/2017
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