Pediatric Dentistry and Orthodontics of Jackson
NPI #1952058133 in Jackson, Michigan
Provider Information
- NPI Number
- 1952058133
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry and Orthodontics of Jackson
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 7, 2022
- Last Updated
- Mar 7, 2022
Practice Location
Authorized Official
- Name
- DR. LY JULIE VAN, DDS
- Title
- PEDIATRIC DENTIST
- Phone
- (586) 744-9869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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