| NPI | 1922122100 |
|---|---|
| Former Name | GRACE ANGELA YANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6347-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 21432) |
| 1223G0001X Dentist, General Practice (Licence: FL DN 17308) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-04-30 |