Healthcare Provider Details

I. General information

NPI: 1982513511
Provider Name (Legal Business Name): CHOICE FAMILY DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 WASHTENAW AVE
ANN ARBOR MI
48108-1302
US

IV. Provider business mailing address

4600 WASHTENAW AVE
ANN ARBOR MI
48108-1302
US

V. Phone/Fax

Practice location:
  • Phone: 734-929-9910
  • Fax: 734-929-6623
Mailing address:
  • Phone: 734-929-9910
  • Fax: 734-929-6623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JU-HEE MA
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 224-628-1585