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1063988202
YI YUAN
SAN JOSE, CA
NPI
1063988202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS103040)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
YI YUAN DMD
3161 SENTER RD
SAN JOSE, CA 95111-1300
Phone number: 919-260-5111
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Mailing Address
YI YUAN DMD
972 KIELY BLVD UNIT A
SANTA CLARA, CA 95051-5073
Phone number: 919-260-5111
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