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1134851041
MAX TIANYI XIA
BRONX, NY
NPI
1134851041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
-- MAX TIANYI XIA DDS
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2418
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Mailing Address
-- MAX TIANYI XIA DDS
212 W 91ST ST APT 1433
NEW YORK, NY 10024-1365
Phone number: 332-260-3059
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