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General NPI Number Information
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NPI Number | 1982513511
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Entity Type | Organization
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Legal Business Name | CHOICE FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 4600 WASHTENAW AVE
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City | ANN ARBOR
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State | MI
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Zip | 48108-1302
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Country | US
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Telephone | 734-929-9910
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Fax | 734-929-6623
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Provider Business Mailing Address
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Address Line | 4600 WASHTENAW AVE
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City | ANN ARBOR
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State | MI
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Zip | 48108-1302
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Country | US
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Telephone | 734-929-9910
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Fax | 734-929-6623
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | JU-HEE MA
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Credential | DDS
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Telephone | 224-628-1585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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