Jun A. Soetanto Dmd Llc | |
2266 Kresge Dr Amherst OH 44001-1260 | |
(440) 960-0090 | |
Not Available |
Full Name | Jun A. Soetanto Dmd Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 2266 Kresge Dr, Amherst, Ohio |
Authorized Official Name and Position | Jun Soetanto (OWNER) |
Authorized Official Contact | 4845574808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jun A. Soetanto Dmd Llc 2266 Kresge Dr Amherst OH 44001-1260 Ph: (440) 960-0090 | Jun A. Soetanto Dmd Llc 2266 Kresge Dr Amherst OH 44001-1260 Ph: (440) 960-0090 |
NPI Number | 1942955216 |
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Provider Enumeration Date | 02/15/2022 |
Last Update Date | 02/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942955216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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