JUN A. SOETANTO DMD LLC

AMHERST, OH
NPI1942955216
Entity TypeOrganization
Authorized ContactJUN SOETANTO
Owner
484-557-4808
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2022-02-15
Last Update Date2022-02-15
Business Address
JUN A. SOETANTO DMD LLC
2266 KRESGE DR
AMHERST, OH 44001-1260
Phone number: 440-960-0090
Mailing Address
JUN A. SOETANTO DMD LLC
2266 KRESGE DR
AMHERST, OH 44001-1260
Phone number: 440-960-0090