Most Relevant Information
Provider Data
| NPI Number: | 1003222472 |
| Provider Name: | MINH-PHUONG ISABELLE KIEU |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2901021361 |
Most Important Dates
| Enumeration Date: | 07/07/2014 |
| Last Updated: | 07/10/2014 |
Provider Practice Location
2700 MARTIN LUTHER KING JR BLVD
DETROIT
MI
482082576
Practice Location Phone/Fax
| Phone: | 3134946629 |
| Fax: |
Provider Mailing Location
1 LAFAYETTE PLAISANCE ST APT 609
DETROIT
MI
482072821
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |