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1629417902
JAE YANG
ALBUQUERQUE, NM
NPI
1629417902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NM DD3920)
Enumeration Date
2013-06-19
Last Update Date
2013-08-15
Business Address
JAE YANG DDS
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105-1669
Phone number: 505-843-7172
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Mailing Address
JAE YANG DDS
350 N CLARK ST FL 6
CHICAGO, IL 60654-4712
Phone number:
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