Ji Ma

NPI #1891117198 in Moline, Illinois

Provider Information

NPI Number
1891117198
Entity Type
Individual
Name
Ji Ma
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jan 6, 2014
Last Updated
Dec 15, 2015

Practice Location

Address
4601 16TH ST UNIT 12
City
Moline
ZIP Code
61265-7000
Phone
(309) 292-0942

Specialties & Taxonomy Codes

Specialty
Dentist

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