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1932648201
DAVID JIAYUAN XU
VESTAL, NY
NPI
1932648201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 059877-1)
Enumeration Date
2017-02-18
Last Update Date
2018-09-19
Business Address
DAVID JIAYUAN XU DDS
2521 VESTAL PKWY W
VESTAL, NY 13850
Phone number: 607-754-2217
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Mailing Address
DAVID JIAYUAN XU DDS
2066 E 26TH ST
BROOKLYN, NY 11229-2442
Phone number: 917-724-4172
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