Individual
BINHAN JESSICA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4262
(616) 776-2340
Mailing address
101 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4262
(616) 776-2340
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902013969
MI
Other
Enumeration date
11/05/2015
Last updated
06/15/2023
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