Jun A. Soetanto Dmd LLC

NPI #1942955216 in Amherst, Ohio

Provider Information

NPI Number: 1942955216
Entity Type: Organization
Organization Name: Jun A. Soetanto Dmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 15, 2022
Last Updated: Feb 15, 2022

Practice Location

Address: 2266 KRESGE DR
City: Amherst
State: Ohio
ZIP Code: 44001-1260
Phone: (440) 960-0090

Authorized Official

Name: DR. JUN SOETANTO, DMD
Title: OWNER
Phone: (484) 557-4808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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