NPI | 1164566592 |
---|---|
Former Name | HONGYU YANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48409) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 48409) |
Enumeration Date | 2007-02-18 |
Last Update Date | 2013-09-30 |