NPI 1003222472

Minh-Phuong Isabelle Kieu

Practitioner Dentist Detroit, MI

Practice location

Address: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576
Phone: (313) 494-6629
Mailing address: 1 Lafayette Plaisance St APT 609, Detroit, MI 48207-2821

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2901021361 (MI)

Other Dentist providers in Michigan →

Registry record

NPI: 1003222472
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2014
Record last updated: 10 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.