| Okemos Pediatric Dentistry | |
|
3985 Okemos Rd Okemos MI 48864-3692 | |
| (517) 381-5244 | |
| (517) 381-5247 |
| Full Name | Okemos Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3985 Okemos Rd, Okemos, Michigan |
| Authorized Official Name and Position | Melvin S Jung (PRESIDENT) |
| Authorized Official Contact | 5173815244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Okemos Pediatric Dentistry 3985 Okemos Rd Okemos MI 48864-3692 Ph: (517) 381-5244 | Okemos Pediatric Dentistry 3985 Okemos Rd Okemos MI 48864-3692 Ph: (517) 381-5244 |
| NPI Number | 1154065977 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154065977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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