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1477039865
YAN GAO
MODESTO, CA
NPI
1477039865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS102758)
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
Dr. YAN GAO DDS
2030 COFFEE RD
MODESTO, CA 95355-2413
Phone number: 203-747-1133
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Mailing Address
Dr. YAN GAO DDS
2030 COFFEE RD
MODESTO, CA 95355-2413
Phone number: 203-747-1133
Copy
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