Individual
KOUNGHAE CHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1074 JACKSON XING, JACKSON, MI 49202-2039
(517) 841-0000
Mailing address
3005 WHISPERWOOD DR APT 288, ANN ARBOR, MI 48105-3409
(909) 556-8791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021393
MI
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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