| Pllc | |
|
4111 Okemos Road Suite 202 Okemos MI 48864 | |
| (517) 347-0777 | |
| (517) 347-8788 |
| Full Name | Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4111 Okemos Road, Okemos, Michigan |
| Authorized Official Name and Position | Matthew Sm Yun (PARTNER) |
| Authorized Official Contact | 5173470777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pllc 4111 Okemos Road Suite 202 Okemos MI 48864 Ph: (517) 347-0777 | Pllc 4111 Okemos Road Suite 202 Okemos MI 48864 Ph: (517) 347-0777 |
| NPI Number | 1073671301 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073671301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 014798 (Michigan) | Secondary |
| 122300000X | Dentist | 017212 (Michigan) | Primary |
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