YANGBASAI DONG

ROCKFORD, IL
NPI1033787379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.033154)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
YANGBASAI DONG
5819 E RIVERSIDE BLVD # 21
ROCKFORD, IL 61114-4963
Phone number: 815-282-4311
Mailing Address
YANGBASAI DONG
5819 E RIVERSIDE BLVD # 21
ROCKFORD, IL 61114-4963
Phone number: 815-282-4311