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1033787379
YANGBASAI DONG
ROCKFORD, IL
NPI
1033787379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.033154)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
YANGBASAI DONG
5819 E RIVERSIDE BLVD # 21
ROCKFORD, IL 61114-4963
Phone number: 815-282-4311
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Mailing Address
YANGBASAI DONG
5819 E RIVERSIDE BLVD # 21
ROCKFORD, IL 61114-4963
Phone number: 815-282-4311
Copy
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