ILI YUAN

PORTSMOUTH, VA
NPI1467060111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D11287)
Additional Taxonomies122300000X Dentist
(Licence: KY  temp)
Enumeration Date2020-07-20
Last Update Date2021-03-11
Business Address
ILI YUAN DMD
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-2339
Mailing Address
ILI YUAN DMD
850 CRAWFORD PKWY APT 5112
PORTSMOUTH, VA 23704-2328
Phone number: 502-365-8388
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